Provider Demographics
NPI:1851073605
Name:ECHANDY TORRES, KATHIUSHKA DEL CORAL
Entity Type:Individual
Prefix:
First Name:KATHIUSHKA
Middle Name:DEL CORAL
Last Name:ECHANDY 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:STREET MORSE
Mailing Address - Street 2:STREET MORSE
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714
Mailing Address - Country:US
Mailing Address - Phone:787-517-5190
Mailing Address - Fax:787-839-4150
Practice Address - Street 1:STREET MORSE CORNER STREET 46
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-0456
Practice Address - Country:US
Practice Address - Phone:787-517-5190
Practice Address - Fax:787-839-3989
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
PR257171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)