Guillen Rivera Oral and Maxillofacial Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC

Practice address

7100 Westwind Dr Ste 110-115
El Paso, TX 79912-1786

Phone

(915) 283-4730

Fax

(915) 283-6210

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gerardo J Guillen Rivera, DMD/DDS

Title

President / Owner

Phone

(915) 283-4730

Specialties & licenses 1

Addresses

Other names 1

• Prestige Oral and Facial Surgery Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1821640822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WESTWIND DR STE 110-115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121786",
            "telephone_number": "915-283-4730",
            "fax_number": "915-283-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WESTWIND DR STE 110-115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121786",
            "telephone_number": "915-283-4730",
            "fax_number": "915-283-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "GUILLEN RIVERA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "915-283-4730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD/DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@prestigesurgery.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7100 Westwind Dr Ste 110-115",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799121786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prestige Oral and Facial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John E Guggedahl, M.D.
• Marilyn Guibeau, MS CCC SLP
• Guide Anesthesia TX PLLC
• Guiding Star Southwest LLC
• Sara Marie Guido, DC
• Gerardo Jose Guillen Rivera, M.D.
• Rosalia Guillen-Herrera, SLP
• Ariel Araceli Guillen
• Cristina Guillen, SLP-ASSISTANT
• Cynthia 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 Jul 10, 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.