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NPI Code Detail

MEDICARE: DR. JOSE ORLANDO RIVERA PHARMD

MEDICARE: DR. JOSE ORLANDO RIVERA PHARMD
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
11835P1200XPharmacotherapy Pharmacist35392TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135392OTHERTXRPH
203097670OTHERTXTDMV

General Provider Information

NPI Number : 1770189102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ORLANDO RIVERA PHARMD
Provider Business Mailing Address
First Line : 1101 N CAMPBELL ST STE 110
Second Line :
City : EL PASO
State : TX
Zip : 79902-4238
Country : US
Telephone Number : 915-747-8519
Fax Number : 915-747-8521
Provider Business Practice Location Address
First Line : 1101 N CAMPBELL ST STE 110
Second Line :
City : EL PASO
State : TX
Zip : 79902-4238
Country : US
Telephone Number : 915-747-8519
Fax Number : 915-747-8521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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Directions to “ DR. JOSE ORLANDO RIVERA PHARMD” Practice Location

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