Dr. Roberto Javier Vidri Alonso-Rochi, M.D.
Surgery in Lewiston, ME. Individual provider (NPI-1).
NPI number1497042998
StatusActive
Last updated in NPPESFeb 9, 2024
Details
- NPI
- 1497042998
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roberto Javier Vidri Alonso-Rochi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2011
- Certification date
- Feb 9, 2024
- Last updated
- Feb 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 1223 | WI | Yes |
| 208600000X | Surgery | 2023-03446 | NC | |
| 208600000X | Surgery | MD 21008 | ME | |
| 208600000X | Surgery | LP02286 | RI |
Practice location
99 Campus Ave Ste 401St. Mary'S Surgical Associates
Lewiston, ME 04240-6045
Phone 207-777-8650
Mailing address
727 Lorillard CtMadison, WI 53703-3808
Other practice locations
2901 Blue Ridge Rd Ste 201
Raleigh, NC 27607-6423
Raleigh, NC 27607-6423
Phone 919-784-7874
7 Maple St Apt 605
Portland, ME 04101-4888
Portland, ME 04101-4888
Phone 312-810-6709
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