Cynthia D. Rivera, Md Pllc | |
1900 Denver Ave El Paso TX 79902-3008 | |
(915) 544-4000 | |
(915) 544-8750 |
Full Name | Cynthia D. Rivera, Md Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1900 Denver Ave, El Paso, Texas |
Authorized Official Name and Position | Cynthia D Rivera (PRESIDENT) |
Authorized Official Contact | 9158201479 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cynthia D. Rivera, Md Pllc 4849 N Mesa St Suite 201 El Paso TX 79912-5916 Ph: (915) 351-6600 | Cynthia D. Rivera, Md Pllc 1900 Denver Ave El Paso TX 79902-3008 Ph: (915) 544-4000 |
NPI Number | 1508156449 |
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Provider Enumeration Date | 04/12/2011 |
Last Update Date | 08/07/2015 |
Medicare PECOS PAC ID | 3173709326 |
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Medicare Enrollment ID | O20110524000144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508156449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | H6548 (Texas) | Primary |
Provider Name | Cynthia D Rivera |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700829215 PECOS PAC ID: 4082890231 Enrollment ID: I20110524000161 |
Provider Name | Jacob I Butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598160491 PECOS PAC ID: 3072810365 Enrollment ID: I20160331002252 |
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