Whalio Doctors

NPI 1063713774

Julio C. Rivera-Ilarraza, MD

Practitioner Occupational Medicine Physician Lusby, MD

Practice location

Address
13065 Mills Creek Dr, Lusby, MD 20657-5703
Phone
(410) 394-0324
Fax
(410) 394-6645
Mailing address
PO Box 1890, Lusby, MD 20657-6890

Registered specialties (4)

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence D0023153 (MD)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 002554 (PR)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence MD11081 (DC)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 0101030636 (VA)

Registry record

NPI
1063713774
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Nov 2010
Record last updated
12 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.