Rivera, Jaime

Rivera, Jaime is an individual health care provider with primary practice located at 7482 Paseo Del Norte , El Paso TX 79911-3200. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Rivera, Jaime can be contacted via phone (915) 585-7550.

Contact Information

Primary practice address
7482 Paseo Del Norte El Paso TX 79911-3200
Phone: (915) 585-7550
Fax: (915) 585-7552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22009 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22009 Texas

Profile Details

NPI number 1124059472
LBN Legal business name Rivera, Jaime
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124059472 NPPES
Texas MEDICAID 213495902
Texas Other 00142477
Texas Other DD3905
Texas Other 22009
Texas MEDICAID 213495901

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