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Dr. Jason Isaiah Rivera, MD
Student in an Organized Health Care Education/Training Program in Aurora, Colorado
NPI 1356923197

Jason Isaiah Rivera is a Student in an Organized Health Care Education/Training Program based in Aurora, CO. Jason Isaiah Rivera practices in Aurora, CO and has the professional credentials of MD. The NPI Number for Jason Isaiah Rivera is 1356923197 and holds a License No. DR.0069518 (Colorado).

The current practice location address for Jason Isaiah Rivera is 12631 E 17Th Ave Ste F496, Aurora, CO and can be reached out via phone at 720-553-2696. You can also correspond with Jason Isaiah Rivera through the mailing address at 12631 E 17TH AVE STE F496, AURORA, CO - 80045-2527 (mailing address contact number: 720-553-2696).

Location: 12631 E 17Th Ave Ste F496, Aurora, CO, 80045-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356923197
Provider Name
Jason Isaiah Rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12631 E 17Th Ave Ste F496, Aurora, CO, 80045-2527
Phone Number
720-553-2696
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
029486 01 CO KAISER COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
12631 E 17Th Ave Ste F496
City
Aurora
State
Colorado
Zip
80045-2527
Phone Number
720-553-2696
Fax Number
person
Provider Business Mailing Address Details
Address
12631 E 17Th Ave Ste F496
City
Aurora
State
Colorado
Zip
80045-2527
Phone Number
720-553-2696
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
TL.0008534 (Colorado)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
DR.0069518 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DR.0069518 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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