Provider Demographics
NPI:1467261024
Name:RIVERA -TORRES, ENRIQUE STEWART
Entity type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:STEWART
Last Name:RIVERA -TORRES
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 1:8206 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2405
Mailing Address - Country:US
Mailing Address - Phone:202-553-9414
Mailing Address - Fax:
Practice Address - Street 1:725 24TH ST NW APT 406
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2506
Practice Address - Country:US
Practice Address - Phone:202-361-2091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide