Provider Demographics
NPI:1205932506
Name:GERMAN JOSE RIGESTI MDPA
Entity type:Organization
Organization Name:GERMAN JOSE RIGESTI MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:RIGESTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-8800
Mailing Address - Street 1:1700 N OREGON ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3584
Mailing Address - Country:US
Mailing Address - Phone:915-532-8800
Mailing Address - Fax:915-532-8803
Practice Address - Street 1:1700 N OREGON ST
Practice Address - Street 2:SUITE 710
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3584
Practice Address - Country:US
Practice Address - Phone:915-532-8800
Practice Address - Fax:915-532-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9301261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00157TMedicare PIN