Provider Demographics
NPI:1326060765
Name:TORRES MARTINEZ, JESSY JOAN (MSW, PHD, NSL)
Entity Type:Individual
Prefix:
First Name:JESSY
Middle Name:JOAN
Last Name:TORRES MARTINEZ
Suffix:
Gender:F
Credentials:MSW, PHD, NSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0414
Mailing Address - Country:US
Mailing Address - Phone:787-325-6737
Mailing Address - Fax:787-537-7402
Practice Address - Street 1:10 CALLE GUAYAMA
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3314
Practice Address - Country:US
Practice Address - Phone:787-325-6737
Practice Address - Fax:787-537-7402
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR86861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical