Provider Demographics
NPI:1326210576
Name:TORMOS, LOURDES GARCIA (MS PHL)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:GARCIA
Last Name:TORMOS
Suffix:
Gender:F
Credentials:MS PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:I20 CALLE TAYLOR
Mailing Address - Street 2:GUAYNABO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3810
Mailing Address - Country:US
Mailing Address - Phone:787-789-4414
Mailing Address - Fax:
Practice Address - Street 1:I20 CALLE TAYLOR
Practice Address - Street 2:GUAYNABO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3810
Practice Address - Country:US
Practice Address - Phone:787-789-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist