Provider Demographics
NPI:1770461097
Name:TORRES RIVERA, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:TORRES RIVERA
Suffix:
Gender:F
Credentials:
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 518
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0518
Mailing Address - Country:US
Mailing Address - Phone:939-336-8000
Mailing Address - Fax:787-862-2731
Practice Address - Street 1:BO CANDELARIA SECTOR PAJAROS
Practice Address - Street 2:PR 863 KM 1.0
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-2200
Practice Address - Country:US
Practice Address - Phone:939-336-8000
Practice Address - Fax:787-862-2731
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty