Individual
DR. JORGE RODOLFO RIVERA-IRIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
3638 VERONA TRL, ROANOKE, VA 24018-4919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101057008
VA
Other
Enumeration date
07/10/2006
Last updated
10/31/2018
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