Provider Demographics
NPI:1598753022
Name:TORRES, CAROLYN B (BSN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:B
Last Name:TORRES
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N1 CALLE 15 STA. JUANA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2042
Mailing Address - Country:US
Mailing Address - Phone:787-744-9223
Mailing Address - Fax:787-285-8078
Practice Address - Street 1:AVE. MUNOZ MARIN 62
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-285-8078
Practice Address - Fax:787-285-8078
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28871163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28871OtherBACHELLOR NURSE LICENSE