Provider Demographics
NPI:1114292513
Name:TORRES, EDITH
Entity Type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:EDITH
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 24352
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9453
Mailing Address - Country:US
Mailing Address - Phone:787-840-6630
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 24352
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-9453
Practice Address - Country:US
Practice Address - Phone:787-840-6630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional