Provider Demographics
NPI:1417608944
Name:TORRES, ASTRID REBEKA
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:REBEKA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H20 CALLE JOSE I QUINTON
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-2335
Mailing Address - Country:US
Mailing Address - Phone:787-469-6590
Mailing Address - Fax:
Practice Address - Street 1:H20 CALLE JOSE I QUINTON
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-2335
Practice Address - Country:US
Practice Address - Phone:787-469-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR007363390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program