Healthcare Provider Details

I. General information

NPI: 1487579405
Provider Name (Legal Business Name): DIANELIS RIOS TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CALLE PALMA
ARECIBO PR
00612-4526
US

IV. Provider business mailing address

HC 5 BOX 7030
LARES PR
00669-9730
US

V. Phone/Fax

Practice location:
  • Phone: 787-414-2276
  • Fax:
Mailing address:
  • Phone: 787-414-2276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25175
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: