Healthcare Provider Details

I. General information

NPI: 1417315722
Provider Name (Legal Business Name): RUTH JANNET NAVARRETE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RUTH JANNET FIGUEROA LOPEZ DDS

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLVD. INDEPENDENCIA #1118 SUITE 12 ZONA URBANO RIO TIJUANA
TIJUANA BC
22010
MX

IV. Provider business mailing address

650 E. SAN YSIDRO BLVD. 103-550
SAN YSIDRO CA
92173
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 619-428-3247
  • Fax: 619-662-1255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4929040
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: