Provider Demographics
NPI:1235678210
Name:TORRES, YASHIRA M (SPL)
Entity Type:Individual
Prefix:
First Name:YASHIRA
Middle Name:M
Last Name:TORRES
Suffix:
Gender:F
Credentials:SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 COND CRYSTAL HOUSE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923
Mailing Address - Country:US
Mailing Address - Phone:787-428-1619
Mailing Address - Fax:
Practice Address - Street 1:368 CALLE DE DIEGO
Practice Address - Street 2:COND CRYSTAL HOUSE APT 409
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-2916
Practice Address - Country:US
Practice Address - Phone:787-428-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist