Provider Demographics
NPI:1164681243
Name:RIVERA-TORO, HIRAM (LMFT)
Entity Type:Individual
Prefix:
First Name:HIRAM
Middle Name:
Last Name:RIVERA-TORO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E COOLEY DR STE 200L
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3938
Mailing Address - Country:US
Mailing Address - Phone:909-708-9770
Mailing Address - Fax:
Practice Address - Street 1:1420 E COOLEY DR STE 200L
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3938
Practice Address - Country:US
Practice Address - Phone:909-708-9770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist