Provider Demographics
NPI:1164115101
Name:TORRES NEGRON, EDITH NEIZA (MSW)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:NEIZA
Last Name:TORRES NEGRON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0094
Mailing Address - Country:US
Mailing Address - Phone:787-222-1891
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 92
Practice Address - Street 2:BARRIO MEMBRILLO
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-222-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical