Provider Demographics
NPI:1447564489
Name:GERMAN J RIGESTI MD, PA
Entity Type:Organization
Organization Name:GERMAN J RIGESTI MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIGESTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-861-3196
Mailing Address - Street 1:1339 FRANKLIN WIND PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8159
Mailing Address - Country:US
Mailing Address - Phone:915-532-8800
Mailing Address - Fax:
Practice Address - Street 1:6955 N MESA ST
Practice Address - Street 2:SUITE 303-C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4442
Practice Address - Country:US
Practice Address - Phone:915-584-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB110097Medicare PIN