Provider Demographics
NPI:1275786295
Name:TORRES MORALES, JOHN (MPSY)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:TORRES MORALES
Suffix:
Gender:M
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARCELAS FALU 45 APT 164
Mailing Address - Street 2:SAN JUAN PUERTO RICO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2228
Mailing Address - Country:US
Mailing Address - Phone:787-763-2228
Mailing Address - Fax:
Practice Address - Street 1:PARCELAS FALU 45 APT 164
Practice Address - Street 2:VILLA PRADES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2228
Practice Address - Country:US
Practice Address - Phone:787-763-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3168103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist