JOSE L. SERVIN (NPI# 1316216872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316216872 |
| Entity Type | Organization |
| Organization Name | JOSE L. SERVIN |
| Practice Address |
959 Ocampo Ave Tijuana BC 202000 MX |
| Mailing Address |
Po Box 210116 Chula Vista CA 91921-0116 |
| Practice Telephone | 6646881687 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | MR. ALEJANDRO RAMOS (BILLING) |
| Authorized Official Telephone | 6199926290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1004119 | ZZ | Dental Providers |
| Street Address |
959 OCAMPO AVE |
| City | TIJUANA |
| State | BC |
| Zip Code | 202000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811508 | Elvia Arevalo | Dentist | Ingenieros 201-6, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1225639784 | Pamela Moreno | Dentist | Calzada Tecnologico 13701, Tijuana, BAJA CALIFORNIA 22427 | 2020-11-02 |
| 1134720691 | Karla Moreno | Dentist | Blvd Sanchez Taboada 16004-6, Tijuana, BAJA CALIFORNIA 22010 | 2020-11-02 |
| 1811597693 | Mayra G Garibay | Dentist | Leona Vicario #301, Tijuana, BAJA CALIFORNIA 22320 | 2020-10-29 |
| 1972119683 | Pastor G Bojorquez | Dentist | 1511 Blvd Sanchez Taboada, Tijuana, BAJA CALIFORNIA 22010 | 2020-09-17 |
| 1447876321 | Ana Karen Vargas | Dentist | Blvd General Abelardo L Rodriguez 10 Ste 306 Zona Urban, Tijuana, BAJA CALIFORNIA 22010 | 2020-06-17 |
| 1275158610 | Hector Nunez | Dentist | Calle 5ta Emiliano Zapata #7617-2, Zona Centro, Tijuana, BAJA CALIFORINA 22000 | 2020-06-11 |
| 1992320337 | Hector Nunez | Dentist | Calle 5ta Emiliano Zapata #7617-2, Zone Centro, Tijuana, BAJA CALIFORINA 22000 | 2020-06-11 |
| 1376168047 | Imelda Barreto | Dentist | Blvd Fundadores 6714 Ste A, Tijuana, BAJA CALIFORNIA 22626 | 2020-06-09 |
| 1477181345 | Krisbell M Adame | Dentist | Calle 8 #8817, Tijuana, BAJA CALIFORNIA 22000 | 2020-03-27 |
| Find all providers in TIJUANA | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876321 | Ana Karen Vargas | Dentist | Blvd General Abelardo L Rodriguez 10 Ste 306 Zona Urban, Tijuana, BAJA CALIFORNIA 22010 | 2020-06-17 |
| 1306316013 | Juan Manuel Olivar | Dentist | Ave Revolucion #868 C, Tijuana, BAJA CALIFORNIA 22000 | 2018-11-26 |
| 1043692098 | Stephanie Quintero | Dentist | Calle 7ma # 8074, Zona Centro, Tijuana, BAJA CALIFORNIA 22000 | 2015-06-26 |
| 1497024954 | Adalberto Zazueta | Dentist | 1093 Mutualismo St, Tijuana, BC 22000 | 2011-12-29 |
| 1306115860 | Paul Zuniga | Dentist | 2044 Fourth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1952670416 | Gerardo Vargas | Dentist | 7423 Fourth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1407125966 | Ellizabeth Sanchez | Dentist | 3464 A Silvestre St, Col. Mirador, Tijuana, BC 22000 | 2011-12-29 |
| 1134498694 | Jesus A. Torres | Dentist | 8279-4 Fifth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1407125958 | Jesus Rodriguez | Dentist | 5343 Fundadores Blvd, Suite 37, Tijuana, BC 22000 | 2011-12-29 |
| 1770852220 | Hector Santillana | Dentist | 2340-101 J Clemente Orozco St, Tijuana, BC 22000 | 2011-12-29 |
| Find all providers in TIJUANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.