Jesus Manuel Rivera Jr., RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT82409 Issued in TX

Practice address

7338 Remcon Cir Ste 300
El Paso, TX 79912-1637

Phone

(915) 613-5580

Fax

(915) 842-0841

NPI assigned

Dec 18, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1073151288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 RIVER PARK PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324112",
            "telephone_number": "915-222-3266",
            "fax_number": "915-219-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 REMCON CIR STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121637",
            "telephone_number": "915-613-5580",
            "fax_number": "915-842-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JESUS",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Estella Rivera, LPC
• Gabriela Rivera, LVN
• Itzel Rivera
• Jade Marie Rivera
• Jaime Rivera, D.M.D
• Jonathan Rivera
• Jose Orlando Rivera, PHARMD
• Joshua Abraham Rivera, LMT
• Manuel Rivera, M.D.
• Manuel Alejandro Rivera, CRNA

• Registered Dietitian in El Paso, TX
• Providers in El Paso, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.