Provider Demographics
NPI:1811796972
Name:TORRES RIVERA, DELMARIES
Entity type:Individual
Prefix:
First Name:DELMARIES
Middle Name:
Last Name:TORRES RIVERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3083 HERON LAKE DR APT G
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5209
Mailing Address - Country:US
Mailing Address - Phone:787-329-5410
Mailing Address - Fax:
Practice Address - Street 1:1725 BUSINESS CENTER LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-1801
Practice Address - Country:US
Practice Address - Phone:407-201-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLT626160946730106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician