| Rivera Orthodontics And Associates, Pllc. | |
|
1514 N Zaragoza Rd Ste A2 El Paso TX 79936-8040 | |
| (915) 592-5853 | |
| (915) 591-0381 |
| Full Name | Rivera Orthodontics And Associates, Pllc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1514 N Zaragoza Rd Ste A2, El Paso, Texas |
| Authorized Official Name and Position | Jaime Rivera (OWNER) |
| Authorized Official Contact | 9155857550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Orthodontics And Associates, Pllc. 6901 Helen Of Troy Bldg D-1 El Paso TX 79911-3130 Ph: (915) 585-7550 | Rivera Orthodontics And Associates, Pllc. 1514 N Zaragoza Rd Ste A2 El Paso TX 79936-8040 Ph: (915) 592-5853 |
| NPI Number | 1902334535 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 05/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902334535 | NPI | - | NPPES |
| 1223X0400X | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22009 (Texas) | Primary |
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