Provider Demographics
NPI:1518509421
Name:TORRES, JOSE MANUEL (PSY D MS, MSW)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:MANUEL
Last Name:TORRES
Suffix:
Gender:M
Credentials:PSY D MS, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. BELLA VISTA 4-A
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-346-2380
Mailing Address - Fax:
Practice Address - Street 1:URB. BELLA VISTA 4-A
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-0069
Practice Address - Country:US
Practice Address - Phone:787-346-2380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR97361041C0700X
PR6446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical