Provider Demographics
NPI:1932071057
Name:RIVERA-TORRES, JOSHUA ABRAHAM
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ABRAHAM
Last Name:RIVERA-TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 JUAN TABO BLVD NE BLDG A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-5187
Mailing Address - Country:US
Mailing Address - Phone:505-705-0571
Mailing Address - Fax:505-503-1617
Practice Address - Street 1:3240 JUAN TABO BLVD NE BLDG A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-5187
Practice Address - Country:US
Practice Address - Phone:505-705-0571
Practice Address - Fax:505-503-1617
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0098741172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker