Rivera, Jason Isaiah

Rivera, Jason Isaiah is an individual health care provider with primary practice located at 12631 E 17Th Ave Ste F496 , Aurora CO 80045-2527. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Rivera, Jason Isaiah can be contacted via phone (720) 553-2696.

Contact Information

Primary practice address
12631 E 17Th Ave Ste F496 Aurora CO 80045-2527
Phone: (720) 553-2696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0069518 Colorado
Allopathic & Osteopathic Physicians / General Practice 208D00000X DR.0069518 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0008534 Colorado

Profile Details

NPI number 1356923197
LBN Legal business name Rivera, Jason Isaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Aug 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356923197 NPPES
Colorado Other 029486 KAISER COMMERCIAL NUMBER

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