Provider Demographics
NPI:1689275489
Name:TORRES, KARLA MICHELLE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:MICHELLE
Last Name:TORRES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0247
Mailing Address - Country:US
Mailing Address - Phone:787-932-1104
Mailing Address - Fax:
Practice Address - Street 1:CALLE JOSE CINTRON 1 SECTOR SANTA ROSA, BO SANTA ROSA 1
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-932-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6584103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical