Individual
ALFREDO VALLESTEROS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 366-5248
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101221482
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101221482
VA
208M00000X
Hospitalist Physician
0101221482
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010403626
—
VA
05
—
1265403158
—
VA
01
—
P00277240
MEDICARE RAILROAD
VA
01
—
P00403472
MEDICARE RAILROAD
VA
Enumeration date
01/30/2006
Last updated
08/03/2022
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