Provider Demographics
NPI:1427266972
Name:RIVERA-TORRES, PAULINO (MD)
Entity type:Individual
Prefix:DR
First Name:PAULINO
Middle Name:
Last Name:RIVERA-TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LEAD AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-5215
Mailing Address - Country:US
Mailing Address - Phone:505-224-7000
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:701 TUSCAN DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:214-496-1100
Practice Address - Fax:214-496-1110
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0273207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S9976OtherBCBS
TX8L0924Medicare PIN