Provider Demographics
NPI:1306026646
Name:TORRES-MENDEZ, YANIRA S (PT)
Entity Type:Individual
Prefix:MRS
First Name:YANIRA
Middle Name:S
Last Name:TORRES-MENDEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND PORTALES DE ALELI
Mailing Address - Street 2:APT. 703
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3755
Mailing Address - Country:US
Mailing Address - Phone:787-226-5977
Mailing Address - Fax:787-731-0162
Practice Address - Street 1:COND PORTALES DE ALELI
Practice Address - Street 2:APT. 703
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3755
Practice Address - Country:US
Practice Address - Phone:787-226-5977
Practice Address - Fax:787-731-0162
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-03
Last Update Date:2007-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist