Provider Demographics
NPI:1225713233
Name:TORRES, VICTOR ALEJANDRO
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:ALEJANDRO
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 SW FORBES ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-6440
Mailing Address - Country:US
Mailing Address - Phone:863-444-2168
Mailing Address - Fax:
Practice Address - Street 1:1510 SW FORBES ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-6440
Practice Address - Country:US
Practice Address - Phone:863-444-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician