Healthcare Provider Details

I. General information

NPI: 1245108158
Provider Name (Legal Business Name): ALVARO JOEL RIVERO ROJAS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 ZEBULON RD
ROCKY MOUNT NC
27804-2426
US

IV. Provider business mailing address

3101 ZEBULON RD
ROCKY MOUNT NC
27804-2426
US

V. Phone/Fax

Practice location:
  • Phone: 252-442-4024
  • Fax:
Mailing address:
  • Phone: 252-442-4024
  • Fax: 252-442-5056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5024563
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: