OrganizationKarla Rivera SalasDentistDental ProvidersPractice AddressVia Juventud 8800, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Karla Rivera Salas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902618531Provider TypeOrganizationFull NameKarla Rivera SalasSubpartNoEnumeration Date1/21/2025Last Updated1/21/2025Contact InformationPractice LocationPractice AddressVia Juventud 8800, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address4630 Border Village Rd Ste N1782, San Ysidro, CA 92173-3121Phone(619) 272-9021FaxUnlisted FaxAuthorized OfficialNameRivera Salas, Karla Vanessa (Dentist)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode1223X0400XDescriptionDentistDental ProvidersLicenseUnlisted Issuer