Individual
DR. ANTONIO R. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6319 CASTLE PL, STE 1 E, FALLS CHURCH, VA 22044-1907
(703) 532-1222
(703) 532-5100
Mailing address
1126 ORMOND CT, MC LEAN, VA 22101-2960
(703) 532-1222
(703) 532-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230403
VA
207R00000X
Internal Medicine Physician
D0055635
MD
207R00000X
Internal Medicine Physician
MD31691
DC
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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