Gerardo Jose Guillen Rivera, M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

28475 Issued in TX

Practice address

4504 Parade Willow Dr
El Paso, TX 79922-2235

Phone

(305) 457-3503

NPI assigned

Aug 22, 2007

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

Other names 1

• Dr. Gerardo Jose Guillen Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 31, 2016 through May 31, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gerardo.guillen@direct.myhealthep.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Espina Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
  • NPI 1457724049
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1366635369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 PARADE WILLOW DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79922",
            "telephone_number": "305-457-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 PARADE WILLOW DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222235",
            "telephone_number": "305-457-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN RIVERA",
        "first_name": "GERARDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "28475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARDO",
            "last_name": "GUILLEN RIVERA",
            "middle_name": "JOSE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marilyn Guibeau, MS CCC SLP
• Guide Anesthesia TX PLLC
• Guiding Star Southwest LLC
• Sara Marie Guido, DC
• Guillen Rivera Oral and Maxillofacial Surgery PLLC
• Rosalia Guillen-Herrera, SLP
• Ariel Araceli Guillen
• Cristina Guillen, SLP-ASSISTANT
• Cynthia Guillen
• Diana Guillen

• Oral and Maxillofacial Surgery (Dentist) in El Paso, TX
• Providers in El Paso, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.