Provider Demographics
NPI:1629746912
Name:TORRES-MARTINEZ, ALICIA (MSW)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:TORRES-MARTINEZ
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:HC 8 BOX 82556
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-8659
Mailing Address - Country:US
Mailing Address - Phone:787-223-4548
Mailing Address - Fax:
Practice Address - Street 1:410 AVE. HOSTOS SUITE 7
Practice Address - Street 2:CENTRO MEDICO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-833-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical