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Individual

EFRAIN RIVERA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1717 BROWN ST STE 3, EL PASO, TX 79902-4730
(915) 261-7226
(915) 231-6769
Mailing address
PO BOX 222187, EL PASO, TX 79913-5187
(915) 261-7226
(915) 519-4300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G1525
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
G1525
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129999206
TX
05
129999208
TX
01
8S2590
BCBS
TX
01
8U4601
BCBS
TX
Enumeration date
09/16/2006
Last updated
07/24/2020
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