| A Rivera Medical Services Llc | |
|
6319 Castle Pl Ste 1 E Falls Church VA 22044-1907 | |
| (703) 532-1222 | |
| Not Available |
| Full Name | A Rivera Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6319 Castle Pl, Falls Church, Virginia |
| Authorized Official Name and Position | Antonio R Rivera (CEO) |
| Authorized Official Contact | 7035321222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Rivera Medical Services Llc 6319 Castle Pl Ste 1 E Falls Church VA 22044-1907 Ph: (703) 532-1222 | A Rivera Medical Services Llc 6319 Castle Pl Ste 1 E Falls Church VA 22044-1907 Ph: (703) 532-1222 |
| NPI Number | 1205879079 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7012994189 |
|---|---|
| Medicare Enrollment ID | O20040707000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205879079 | NPI | - | NPPES |
| CS9911050 | Other | DC | CDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101230403 (Virginia) | Primary |
| Provider Name | Antonio R Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649212978 PECOS PAC ID: 6002893179 Enrollment ID: I20040710000140 |
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