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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROLANDO MATA, IDC

Active Sole Proprietor

MR. ROLANDO MATA, IDC is a Medical Physician Assistant healthcare provider located in SUFFOLK, Virginia. NPI 1538379276 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SUFFOLK, VA

Registration Details

NPI Number
1538379276
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2007 (19.223869132293 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
4007 BROOKLINE DR
SUFFOLK, VA, 234349327
Browse VA providers · Browse ZIP 23434
Phone
7579343135
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SUFFOLK, VA

Name Credential NPI
MR. MICHAEL ALEXANDER MITCHELL P.A. 1982674487
JOHN DAVID SPRING PA-C 1588728307
MISS LATOYA DENISE PUMPHREY PA 1497994578
MS. LINDSEY MARIE WILLIAMS PA-C 1023249976
MRS. KELLI CHARLENE BREZOVIC PA-C 1861722852
MS. EILEEN M SCOTT PA-C 1275847022
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.