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Maria Eleonor Magno Rivera

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3300

PECOS Enrollment

This provider is enrolled in PECOS as MARIA ELEONOR RIVERA.

Based on the most recent information from CMS, provider Maria Eleonor Magno Rivera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1083148654
Provider Type
Individual
Full Name
Rivera, Maria Eleonor Magno
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2017
Last Updated
6/30/2025

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3300

(703) 776-3582

(571) 665-6492

Mailing Location

4301 Dominion Forest Cir Apt 1117, Glen Allen, VA 23060-3364

(843) 758-9684

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101282290 Virginia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 83951 South Carolina

Maria Eleonor Magno Rivera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Istrail, Lawrence

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Shah, Nihar S