Provider Demographics
NPI:1467026906
Name:RIVERA TORRES, FERNANDO LUIS (CVT)
Entity Type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:LUIS
Last Name:RIVERA TORRES
Suffix:
Gender:M
Credentials:CVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BDA GUAYDIA CALLE B FRANCESCHINI 148
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656
Mailing Address - Country:US
Mailing Address - Phone:787-371-0292
Mailing Address - Fax:
Practice Address - Street 1:BDA GUAYDIA CALLE B FRANCESCHINI 148
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656
Practice Address - Country:US
Practice Address - Phone:787-371-0292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03582471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography