Individual
JUAN ANTONIO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8380 BOYDTON PLANK ROAD, ALBERTA, VA 23821
(434) 949-7211
(434) 949-7134
Mailing address
8380 BOYDTON PLANK ROAD, ALBERTA, VA 23821
(434) 949-7211
(434) 949-7134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045047
VA
Other
Enumeration date
01/18/2006
Last updated
11/07/2012
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