Provider Demographics
NPI:1881016194
Name:ROMAN TORRES, ADLIN MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ADLIN
Middle Name:MARIE
Last Name:ROMAN TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARQUE ECUESTRE
Mailing Address - Street 2:CALLE IMPERIAL T1
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-718-6265
Mailing Address - Fax:
Practice Address - Street 1:CALLE CARAZO #44
Practice Address - Street 2:SUITE 2D
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-718-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5579103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1881016194OtherPSYCHOLOGIST
PR1881016194Medicaid