Provider Demographics
NPI:1851759062
Name:TORRES, DENNISE
Entity Type:Individual
Prefix:
First Name:DENNISE
Middle Name:
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 1:1642 CALLE SABIO
Mailing Address - Street 2:BARRIO CUATRO CALLES ,EXT.SALAZAR
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-298-6375
Mailing Address - Fax:
Practice Address - Street 1:1642 CALLE SABIO
Practice Address - Street 2:BARRIO SALAZAR ET.CUATRO CALLES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1826
Practice Address - Country:US
Practice Address - Phone:787-298-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17944104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker