Provider Demographics
NPI:1508100611
Name:TORRES, SAUL (EDD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LAKE VILLA WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-4541
Mailing Address - Country:US
Mailing Address - Phone:407-350-4840
Mailing Address - Fax:
Practice Address - Street 1:112 LAKE VILLA WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-4541
Practice Address - Country:US
Practice Address - Phone:407-350-4840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral