Organization
JAIME RIVERA ORTHODONTICS, P.C.
Active
Other names
Rivera Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME RIVERA DMD (OWNER/ORTHODONTIST)
(915) 585-7550
Entity
Organization
Contact information
Practice address
6901 HELEN OF TROY STE D1, EL PASO, TX 79911-3130
(915) 585-7550
(915) 585-7552
Mailing address
6901 HELEN OF TROY STE D1, EL PASO, TX 79911-3130
(915) 585-7550
(915) 585-7552
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00142477
DPS
—
05
—
213495901
—
TX
05
—
213495902
—
TX
01
—
22009
TX LICENSE
TX
01
—
DD3905
NM LICENSE
NM
Enumeration date
06/27/2014
Last updated
03/07/2023
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