Organization
A RIVERA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO R RIVERA M.D. (CEO)
(703) 532-1222
Entity
Organization
Contact information
Practice address
6319 CASTLE PL, STE 1 E, FALLS CHURCH, VA 22044-1907
(703) 532-1222
Mailing address
6319 CASTLE PL, STE 1 E, FALLS CHURCH, VA 22044-1907
(703) 532-1222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230403
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS9911050
CDS
DC
Enumeration date
06/13/2006
Last updated
03/07/2023
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