Healthcare Provider Details

I. General information

NPI: 1134705015
Provider Name (Legal Business Name): LENIS NILAIDA ROVIRA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DR. JOSE CELSO BARBOSA MEDICAL SCIENCES CAMPUS
SAN JUAN PR
00921
US

IV. Provider business mailing address

10 CALLE SANTA CRUZ APT S208
BAYAMON PR
00961-8577
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 939-250-8754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24568
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: