Individual
VICTOR ANTONIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 NIDER BLVD # 100, VIRGINIA BEACH, VA 23459-8701
(757) 953-8351
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3238
(757) 953-0870
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101248044
VA
208D00000X
General Practice Physician
0101248044
VA
Other
Enumeration date
06/17/2009
Last updated
10/18/2024
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