1417315722 NPI number — MRS. RUTH JANNET NAVARRETE D.D.S.

Table of content: MRS. RUTH JANNET NAVARRETE D.D.S. (NPI 1417315722)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417315722 NPI number — MRS. RUTH JANNET NAVARRETE D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAVARRETE
Provider First Name:
RUTH
Provider Middle Name:
JANNET
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FIGUEROA LOPEZ
Provider Other First Name:
RUTH
Provider Other Middle Name:
JANNET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1417315722
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 E. SAN YSIDRO BLVD.
Provider Second Line Business Mailing Address:
103-550
Provider Business Mailing Address City Name:
SAN YSIDRO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92173
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-428-3247
Provider Business Mailing Address Fax Number:
619-662-1255

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BLVD. INDEPENDENCIA #1118 SUITE 12
Provider Second Line Business Practice Location Address:
ZONA URBANO RIO TIJUANA
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BC
Provider Business Practice Location Address Postal Code:
22010
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  4929040 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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