Provider Demographics
NPI:1568733087
Name:ALVAREZ TORRES, MARIAN B. (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN B.
Middle Name:
Last Name:ALVAREZ TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MARIAN
Other - Middle Name:ALVAREZ
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSY D
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0904
Mailing Address - Country:US
Mailing Address - Phone:787-949-8658
Mailing Address - Fax:
Practice Address - Street 1:2984 AVENIDA FAGOT
Practice Address - Street 2:2984
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-651-7005
Practice Address - Fax:787-651-7034
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4067103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical