Provider Demographics
NPI:1215128095
Name:TORRES RIVERA, TANIA MABEL
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:MABEL
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:CALLE # 6 COLINAS DEL OESTE
Mailing Address - Street 2:CASA D- 14
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0000
Mailing Address - Country:US
Mailing Address - Phone:939-865-0293
Mailing Address - Fax:
Practice Address - Street 1:351 AVE HOSTOS STE 203
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1503
Practice Address - Country:US
Practice Address - Phone:787-376-7589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist