Provider Demographics
NPI:1972224525
Name:TERRES JAUREGUI, MAURICIO (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAURICIO
Middle Name:
Last Name:TERRES JAUREGUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11941 PASEO DEL REY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3787
Mailing Address - Country:US
Mailing Address - Phone:915-545-3787
Mailing Address - Fax:
Practice Address - Street 1:1700 N ZARAGOZA RD STE 133
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7965
Practice Address - Country:US
Practice Address - Phone:915-856-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38837122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist