Provider Demographics
NPI:1205043577
Name:TORRES, CARMEN ANA ROMAN (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:CARMEN ANA
Middle Name:ROMAN
Last Name:TORRES
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 CALLE CARLOS CARTAGENA
Mailing Address - Street 2:COND. PLAZA DEL SUR APT. 8B
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0330
Mailing Address - Country:US
Mailing Address - Phone:787-234-1846
Mailing Address - Fax:
Practice Address - Street 1:CARR. #14, BO. MACHUELO
Practice Address - Street 2:CENTRO DE METADONA, ASSMCA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-840-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR263103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical