Provider Demographics
NPI:1699924324
Name:JESSICA RIVERA-ROBLES OD AND ASSOCIATES
Entity type:Organization
Organization Name:JESSICA RIVERA-ROBLES OD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-496-3336
Mailing Address - Street 1:1141 N LOOP 1604 E #105-437
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232
Mailing Address - Country:US
Mailing Address - Phone:210-496-3336
Mailing Address - Fax:210-496-3332
Practice Address - Street 1:1515 N LOOP 1604 E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4200
Practice Address - Country:US
Practice Address - Phone:210-264-8768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7113TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty