Provider Demographics
NPI:1821026337
Name:TORRES RIVERA, JULIA H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:H
Last Name:TORRES RIVERA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. MONTE DE LOS FRAILES APTO. 404 CALLE UNION #7
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-7203
Mailing Address - Country:US
Mailing Address - Phone:787-565-2329
Mailing Address - Fax:
Practice Address - Street 1:MAIN PROFESSIONAL CENTER, MAIN AVE #51-46, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-565-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1354103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0050028Medicare PIN