Provider Demographics
NPI:1477977163
Name:TORRES- SANTIAGO, NELSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:
Last Name:TORRES- SANTIAGO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:METRO OFFICE PARK
Mailing Address - Street 2:METRO PARK 7 SUITE 204
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-1704
Mailing Address - Country:US
Mailing Address - Phone:787-525-5226
Mailing Address - Fax:
Practice Address - Street 1:METRO OFFICE PARK
Practice Address - Street 2:METRO PARK 7 SUITE 204
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-1704
Practice Address - Country:US
Practice Address - Phone:787-525-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5607103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical