Provider Demographics
NPI:1619664018
Name:TORRES ROQUE, NATALIA MARIE (MA)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:MARIE
Last Name:TORRES ROQUE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:K4 CALLE YAGUEZ
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8005
Mailing Address - Country:US
Mailing Address - Phone:787-638-8501
Mailing Address - Fax:
Practice Address - Street 1:CALLE GAUTIER BENITEZ #49 OFIC. 1-A
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-638-8501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7283103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling