Provider Demographics
NPI:1164642054
Name:TORRES, CARMEN M (MD)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:M
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA CAROLINA 195-38 CALLE 530
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-3108
Mailing Address - Country:US
Mailing Address - Phone:787-766-4646
Mailing Address - Fax:
Practice Address - Street 1:RR-6
Practice Address - Street 2:BOX 9455
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5636
Practice Address - Country:US
Practice Address - Phone:787-766-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical