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NPI Code Detail

MEDICARE: SEBASTIAN RIVERA CARMONA RN

MEDICARE: SEBASTIAN RIVERA CARMONA RN
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
1163W00000XRegistered Nurse1186344TX

General Provider Information

NPI Number : 1518891621
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEBASTIAN RIVERA CARMONA RN
Provider Business Mailing Address
First Line : 2021 BLUFF CREEK ST APT 2305
Second Line :
City : EL PASO
State : TX
Zip : 79911-2264
Country : US
Telephone Number : 915-521-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3524
Country : US
Telephone Number : 915-521-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ SEBASTIAN RIVERA CARMONA RN” Practice Location

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