Individual
DR. JAIME RIVERA
Active
Individual
DR. JAIME RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22009
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00142477
DPS
TX
05
—
213495901
—
TX
05
—
213495902
—
TX
01
—
22009
TEXAS LICENSE DENTIST
TX
01
—
DD3905
NEW MEXICO DENTAL LICENSE
NM
Enumeration date
07/05/2006
Last updated
03/20/2025
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