Provider Demographics
NPI:1619719416
Name:RIVERA TORRES, ELSIE (CRC)
Entity type:Individual
Prefix:MISS
First Name:ELSIE
Middle Name:
Last Name:RIVERA TORRES
Suffix:
Gender:F
Credentials:CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193541
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3541
Mailing Address - Country:US
Mailing Address - Phone:787-529-4709
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 193541
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-3541
Practice Address - Country:US
Practice Address - Phone:787-529-4709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management