Provider Demographics
NPI:1568754315
Name:TORRES, MELISSA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA MADRID ST 10 D 10
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2707
Mailing Address - Country:US
Mailing Address - Phone:787-454-9386
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA MADRID CALLE 10 D 10
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2707
Practice Address - Country:US
Practice Address - Phone:787-454-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10966104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker