Provider Demographics
NPI:1568470516
Name:RIVERA-VELEZ, NILDA J (MD)
Entity Type:Individual
Prefix:
First Name:NILDA
Middle Name:J
Last Name:RIVERA-VELEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N OREGON ST STE 510
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3349
Mailing Address - Country:US
Mailing Address - Phone:915-577-9799
Mailing Address - Fax:915-577-9798
Practice Address - Street 1:1900 N OREGON ST STE 510
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3349
Practice Address - Country:US
Practice Address - Phone:915-577-9799
Practice Address - Fax:915-577-9798
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ 7159207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00N17TMedicare ID - Type Unspecified
TXF87636Medicare UPIN