| Doctor Name: | DR. STELLA IRAMIL MEDINA RIVERA |
| NPI Number: | 1740363589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16598 |
| Business Practice Address: | 1900 Electric Rd Salem, VA - 241537474 |
| Business Phone Number: | 5407764000 |
| Business Fax Number: | |
| Mailing Address: | 1900 Electric Rd, SALEM |
| State: | VA |
| Postal Code: | 241537474 |
| Phone Number: | 5407764000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 04/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16598 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |