Provider Demographics
NPI:1609764299
Name:DIAZ TORRES, JOHANA
Entity type:Individual
Prefix:
First Name:JOHANA
Middle Name:
Last Name:DIAZ TORRES
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:HC 3 BOX 9364
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-9776
Mailing Address - Country:US
Mailing Address - Phone:787-925-3060
Mailing Address - Fax:
Practice Address - Street 1:MANSIONES SANTA BARBARA
Practice Address - Street 2:CALLE AZABACHE C43
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-925-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR94331163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse