MEDICARE: JESSICA RIVERA-ROBLES OD AND ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7113TG	TX

General Provider Information

NPI Number	:	1699924324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSICA RIVERA-ROBLES OD AND ASSOCIATES

Provider Business Mailing Address
First Line	:	1141 N LOOP 1604 E #105-437
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232
Country	:	US
Telephone Number	:	210-496-3336
Fax Number	:	210-496-3332

Provider Business Practice Location Address
First Line	:	1515 N LOOP 1604 E
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4200
Country	:	US
Telephone Number	:	210-264-8768
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JESSICA RIVERA-ROBLES
Credential	:	O.D.
Telephone Number	:	210-496-3336

Provider Enumeration Date	:	09/18/2008
Last Update Date	:	05/15/2024

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