DR. GERARDO JOSE GUILLEN RIVERA (NPI# 1366635369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366635369 |
| Entity Type | Individual |
| Full Name | DR. GERARDO JOSE GUILLEN RIVERA |
| Other Name | DR. GERARDO JOSE GUILLEN RIVERA |
| Credential | M.D. |
| Practice Address |
4504 Parade Willow Dr El Paso TX 79922-2235 |
| Mailing Address |
4504 Parade Willow Dr El Paso TX 79922 |
| Practice Telephone | 3054573503 |
| Mailing Telephone | 3054573503 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2015-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
28475 | TX | Dental Providers |
| Street Address |
4504 PARADE WILLOW DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79922-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724049 | Espina Orthodontics, Pllc | Dentist | 4504 Parade Willow Dr, El Paso, TX 79922-2235 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
| 1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
| 1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
| 1013112549 | Mentis Neuro El Paso, LLC | Residential Treatment Facility, Physical Disabilities | 4360 Doniphan Drive, El Paso, TX 79922 | 2007-06-15 |
| 1821135997 | Alfredo Cedillo | Surgery | 769 Woodland Ave, El Paso, TX 79922 | 2007-01-30 |
| 1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
| 1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
| 1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
| Find all providers in zip 79922 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1659548774 | North Mesa Dental, PC | Dentist | 5130 Fairbanks Dr, El Paso, TX 79924-3813 | 2008-05-08 |
| 1386849446 | Ryan J Smart | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2007-06-19 |
| 1588662365 | Sandra Milburn Edwards | Dentist | 210 Thunderbird Dr, Suite V, El Paso, TX 79912-3910 | 2005-07-14 |
| 1326423468 | El Paso Oral & Facial Surgeons, Pllc | Dentist | 1390 George Dieter Dr, Suite 120, El Paso, TX 79936-7420 | 2015-07-29 |
| 1295091064 | Edward Weston Santee | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2012-04-06 |
| 1669613485 | Natasha Furchtgott | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2009-03-09 |
| 1275700742 | David Michael Yates | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2008-05-13 |
| 1063689065 | Reo P Pugao | Dentist | 10175 Gateway Blvd W, Ste 304, El Paso, TX 79925-7618 | 2008-05-09 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.