Provider Demographics
NPI:1689434433
Name:TORRES, JANET ANTONIA
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ANTONIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28148 SW 136TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1962
Mailing Address - Country:US
Mailing Address - Phone:786-512-3539
Mailing Address - Fax:
Practice Address - Street 1:28148 SW 136TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1962
Practice Address - Country:US
Practice Address - Phone:786-512-3539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician