Provider Demographics
NPI:1467293639
Name:TORRES RIVERA, JAIME MIGUEL
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:MIGUEL
Last Name:TORRES RIVERA
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:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-0081
Mailing Address - Country:US
Mailing Address - Phone:254-598-2266
Mailing Address - Fax:
Practice Address - Street 1:2118 BIRDCREEK DR STE 100
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1020
Practice Address - Country:US
Practice Address - Phone:254-598-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional