Jorge Rodolfo Rivera-Irias, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101057008 Issued in VA

Practice address

1970 Roanoke Blvd
Salem, VA 24153-6404

Phone

(540) 982-2463

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1114951928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 VERONA TRL",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 ROANOKE BLVD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536404",
            "telephone_number": "540-982-2463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20486 Market Street",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "23417",
            "country_code": "US",
            "telephone_number": "757-302-2700",
            "fax_number": "757-787-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-IRIAS",
        "first_name": "JORGE",
        "middle_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101057008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Walton Riddick Jr., M.D.
• Laurel Colletti Riddle, MS, CCC/SLP
• Gregory David Riebel, M.D.
• Jason A Rigoni, D.O.
• Anne Marie Rinaldo
• Ninoshka Rivera-Koberstein
• Samir Noshy Rizk, MD
• Roanoke Chiropractic Health Center,Inc.
• Roanoke Co/Salem Dental Clinic
• Roanoke County Board of Supervisors

• Surgery Physician in Salem, VA
• Providers in Salem, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.