Provider Demographics
NPI:1508616285
Name:TORRES LUGO, JULIANNA
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:TORRES LUGO
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:HC 3 BOX 20282
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9686
Mailing Address - Country:US
Mailing Address - Phone:939-271-2642
Mailing Address - Fax:
Practice Address - Street 1:BO SANTA ROSA
Practice Address - Street 2:SECT CHRISTIAN CARR 321
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-9686
Practice Address - Country:US
Practice Address - Phone:939-271-2642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7085103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist