Provider Demographics
NPI:1639431257
Name:SOTO-TORRES, DAMARIS LINNETTE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:LINNETTE
Last Name:SOTO-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 1:1714 CALLE LIMA
Mailing Address - Street 2:CIUDAD PRIMAVERA
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-8511
Mailing Address - Country:US
Mailing Address - Phone:787-714-0206
Mailing Address - Fax:
Practice Address - Street 1:1714 CALLE LIMA
Practice Address - Street 2:CIUDAD PRIMAVERA
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-8511
Practice Address - Country:US
Practice Address - Phone:787-714-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7943104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker