Virginia Board of Medicine Practitioner Information

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RAUL STEPHEN DE LA VEGA III, MD

LICENSE # 0101035283
  icnsideu@gmail.com

Issue Date: 4/21/1983
Expiration Date: 9/30/2024
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 9/13/2022
Radiology Support Services, PLLC
2936 Grampian Dr
Gastonia, NC 28054
Phone: 704-864-9960

Location Details

  • Practitioner spends 0% of time at this location.
  • Days that practitioner sees patients at this location:
    None


Additional Practice Address
Last Updated 9/13/2022
Cleveland Regional Medical Center
201 East Grover Street
Shelby, NC 28150
Phone: 704-487-3141

Location Details

  • Practitioner spends 50% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Tue,Wed,Thur,Fri,Sat,Sun


Additional Practice Address
Last Updated 9/13/2022
King's Mountain Hospital
706 West King's Street
King's Mountain, NC 28086
Phone: 704-739-3601

Location Details

  • Practitioner spends 25% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Tue,Wed,Thur,Fri,Sat,Sun


Years in Active Clinical Practice
Last Updated 9/13/2022
Years in Active Clinical Practice Inside US/Canada: 39
Medicaid
Last Updated 9/13/2022
Does Not Participate in the Virginia Medicaid program
Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 9/13/2022
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia Hospital Affiliations
Last Updated 9/13/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 9/13/2022
(Shelby,NC) Cleveland Regional Medical Center
(King's Mountain,NC) King's Mountain Hospital