Judith Maria Medina-Rivera in Austin - Dentist

Judith Maria Medina-Rivera - NPI 1598793432

Judith Maria Medina-Rivera is a Dentist in Austin, Texas. Judith Maria Medina-Rivera practices all healthcare services and medical treatments related to Dentist. The NPI Number for Judith Maria Medina-Rivera is 1598793432. The last update date is 2009-12-11.

Judith Maria Medina-Rivera's current location address is 11521 N Fm 620 Ste 700, Austin, Texas. You can contact this provider via phone number 5125600118 and fax number 5129865102. The mailing address for Judith Maria Medina-Rivera is 11521 N Fm 620 Ste 700, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Maria Medina-Rivera
Address 11521 N Fm 620 Ste 700, Austin, Texas
Phone Number 5125600118
Fax Number 5129865102
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1598793432
Provider Enumeration Date 2006-06-29
Last Updated Date 2009-12-11

Provider Mailing Address Detail

Address 11521 N Fm 620 Ste 700
City Austin
State Texas (TX)
Post Code 787261147
Phone Number 5125600118
Fax Number 5129865102

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2571
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1970006-03 TX --

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FAQs about Judith Maria Medina-Rivera

What is the unique 10-digit identifier code assigned to Judith Maria Medina-Rivera by the Centers for Medicare & Medicaid Services?

The Judith Maria Medina-Rivera has been issued the NPI (National Provider Identifier) 1598793432 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Judith Maria Medina-Rivera is physically located?

The Judith Maria Medina-Rivera is physically situated at the following address: 11521 N Fm 620 Ste 700, Austin, TX, 787261147.

What is the Judith Maria Medina-Rivera's area of specialization and corresponding taxonomy classification?

The Judith Maria Medina-Rivera's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Judith Maria Medina-Rivera receive the assignment of its 1598793432 from the Centers for Medicare & Medicaid Services?

The Judith Maria Medina-Rivera was issued its 1598793432 by the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date was the information pertaining to Judith Maria Medina-Rivera, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Judith Maria Medina-Rivera, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-12-11.

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