| Rivera Orthodontics | |
|
6901 Helen Of Troy Ste D1 El Paso TX 79911-3130 | |
| (915) 585-7550 | |
| (915) 585-7552 |
| Full Name | Rivera Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6901 Helen Of Troy Ste D1, El Paso, Texas |
| Authorized Official Name and Position | Jaime Rivera (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 9155857550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Orthodontics 6901 Helen Of Troy Ste D1 El Paso TX 79911-3130 Ph: (915) 585-7550 | Rivera Orthodontics 6901 Helen Of Troy Ste D1 El Paso TX 79911-3130 Ph: (915) 585-7550 |
| NPI Number | 1730594896 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730594896 | NPI | - | NPPES |
| 22009 | Other | TX | TX LICENSE |
| DD3905 | Other | NM | NM LICENSE |
| 213495901 | Medicaid | TX | |
| 00142477 | Other | DPS | |
| 213495902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22009 (Texas) | Primary |
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