Provider Demographics
NPI:1376556407
Name:TORRES-RIVERA, IRIS N
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:N
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 1:495 BILTMORE WAY
Mailing Address - Street 2:NONE
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5756
Mailing Address - Country:US
Mailing Address - Phone:305-446-1047
Mailing Address - Fax:305-446-3646
Practice Address - Street 1:495 BILTMORE WAY
Practice Address - Street 2:NONE
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5756
Practice Address - Country:US
Practice Address - Phone:305-446-1047
Practice Address - Fax:305-446-3646
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN106541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice