Provider Demographics
NPI:1801366927
Name:TORRES-MALDONADO, VERONICA (AUD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:TORRES-MALDONADO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 AVE ESMERALDA APT 135
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4282
Mailing Address - Country:US
Mailing Address - Phone:787-948-1439
Mailing Address - Fax:
Practice Address - Street 1:2D27 AVE PINO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6254
Practice Address - Country:US
Practice Address - Phone:787-743-5054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1013231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist