Provider Demographics
NPI:1598979460
Name:TORRES, CARMEN LYDIA (PROFESIONAL NURSE)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:LYDIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:PROFESIONAL NURSE
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE RONDA 189 URB. SULTANA
Mailing Address - Street 2:P.O. BOX 3464 MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-464-6748
Mailing Address - Fax:787-833-1371
Practice Address - Street 1:CENTRO SALUD MENTAL DE MAYAGUEZ
Practice Address - Street 2:410 AVE HOSTOS SUITE 7
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1522
Practice Address - Country:US
Practice Address - Phone:787-832-6771
Practice Address - Fax:787-833-1371
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9858163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult