Provider Demographics
NPI:1790229045
Name:TORRES, YUDELKYS (BS)
Entity Type:Individual
Prefix:MRS
First Name:YUDELKYS
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 CANNES DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3815
Mailing Address - Country:US
Mailing Address - Phone:407-233-7579
Mailing Address - Fax:
Practice Address - Street 1:904 CANNES DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3815
Practice Address - Country:US
Practice Address - Phone:407-233-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator