Organization
RIVERA ORTHODONTICS AND ASSOCIATES, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME RIVERA DMD (OWNER)
(915) 585-7550
Entity
Organization
Contact information
Practice address
1514 N ZARAGOZA RD STE A2, EL PASO, TX 79936-8040
(915) 592-5853
(915) 591-0381
Mailing address
7482 PASEO DEL NORTE, EL PASO, TX 79911-3200
(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
05
—
1223X0400X
—
TX
Enumeration date
05/26/2017
Last updated
03/20/2025
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