Provider Demographics
NPI:1053661330
Name:TORRES CINTRON, CARMEN YAMARIL (PSICOLOGA)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:YAMARIL
Last Name:TORRES CINTRON
Suffix:
Gender:F
Credentials:PSICOLOGA
Other - Prefix:MRS
Other - First Name:CARMEN
Other - Middle Name:YAMARIL
Other - Last Name:TORRES CINTRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSICOLOGA
Mailing Address - Street 1:HC 4 BOX 10014
Mailing Address - Street 2:BO. SALTO ARRIBA SECTOR EL GUANO
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641
Mailing Address - Country:US
Mailing Address - Phone:787-397-7387
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 10014
Practice Address - Street 2:BO. SALTO ARRIBA SECTOR EL GUANO
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-397-7387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4215103TC1900X, 103TM1800X, 103TP0814X, 103TP2701X, 103TS0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR39Medicaid
PR37OtherSERVICES PSICOLOGY
PR17OtherSERVICES PSICOLOGY