| Cynthia D. Rivera, Md Pllc | |
|
1900 Denver Ave El Paso TX 79902-3008 | |
| (915) 544-4000 | |
| (915) 544-8750 |
| Full Name | Cynthia D. Rivera, Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Denver Ave, El Paso, Texas |
| Authorized Official Name and Position | Cynthia D Rivera (PRESIDENT) |
| Authorized Official Contact | 9158201479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia D. Rivera, Md Pllc 4849 N Mesa St Suite 201 El Paso TX 79912-5916 Ph: (915) 351-6600 | Cynthia D. Rivera, Md Pllc 1900 Denver Ave El Paso TX 79902-3008 Ph: (915) 544-4000 |
| NPI Number | 1508156449 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 3173709326 |
|---|---|
| Medicare Enrollment ID | O20110524000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508156449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | H6548 (Texas) | Primary |
| Provider Name | Beatriz Carrillo Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538396924 PECOS PAC ID: 1658419098 Enrollment ID: I20091105000238 |
| Provider Name | Cynthia D Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700829215 PECOS PAC ID: 4082890231 Enrollment ID: I20110524000161 |
| Provider Name | Sergio M Rodarte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518172105 PECOS PAC ID: 4385805506 Enrollment ID: I20120416000675 |
| Provider Name | Jacob I Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598160491 PECOS PAC ID: 3072810365 Enrollment ID: I20160331002252 |
| Provider Name | Oscar Demetrio Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528181492 PECOS PAC ID: 9436436748 Enrollment ID: I20170515000204 |
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