Provider Demographics
NPI:1437603792
Name:TORRES-SOTO, JOSUE ALBERTO (PH D)
Entity Type:Individual
Prefix:DR
First Name:JOSUE
Middle Name:ALBERTO
Last Name:TORRES-SOTO
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 22319
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9052
Mailing Address - Country:US
Mailing Address - Phone:787-340-5467
Mailing Address - Fax:787-773-1020
Practice Address - Street 1:2993 AVE MILITAR
Practice Address - Street 2:SECTOR LA CURVA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:939-640-7549
Practice Address - Fax:787-773-1020
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5735103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical