MEDICARE: DARIANA CORCHADO TORRES LCDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	8683	PR

General Provider Information

NPI Number	:	1154285187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIANA CORCHADO TORRES LCDA

Provider Business Mailing Address
First Line	:	HC 3 BOX 9226
Second Line	:
City	:	MOCA
State	:	PR
Zip	:	00676-9279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HC 3 BOX 9226
Second Line	:
City	:	MOCA
State	:	PR
Zip	:	00676-9279
Country	:	US
Telephone Number	:	787-507-0475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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