Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnattan Rivera Visalden, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649044728

Johnattan Rivera Visalden, MD is a General Practice in El Paso, Texas. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4615 Alameda Ave
El Paso, TX 79905-2702
Phone: (915) 215-5145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BP10100566 (TX)

Record details

NPI number1649044728
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2023
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address4615 Alameda Ave, El Paso, TX 79905-2702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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