Provider Demographics
NPI:1669772208
Name:RIVERA, RACHEL TORRES (RN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:TORRES
Last Name:RIVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:INEZ
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6313 CASTLEBROOKE LN
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28356-8046
Mailing Address - Country:US
Mailing Address - Phone:910-920-3471
Mailing Address - Fax:
Practice Address - Street 1:6313 CASTLEBROOKE LN.
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NC
Practice Address - Zip Code:28356
Practice Address - Country:US
Practice Address - Phone:910-920-3471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC240322163W00000X
NY603854-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse