Individual provider · Type 1 NPI

Johnattan Rivera Visalden, MD

Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI number 1649044728 Active

Practice location

4615 Alameda Ave
El Paso, TX 79905-2702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10100566 (TX)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1649044728

Johnattan Rivera Visalden, MD's National Provider Identifier is 1649044728, issued on Nov 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Jul 9, 2026.