Provider Demographics
NPI:1497067037
Name:TORALES, DAYANARA
Entity Type:Individual
Prefix:
First Name:DAYANARA
Middle Name:
Last Name:TORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAYANARA
Other - Middle Name:MAGANA
Other - Last Name:TORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:442 W HOLT AVE
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-3339
Mailing Address - Country:US
Mailing Address - Phone:760-427-6927
Mailing Address - Fax:
Practice Address - Street 1:1295 W STATE ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2845
Practice Address - Country:US
Practice Address - Phone:760-355-3093
Practice Address - Fax:760-337-7885
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor