Provider Demographics
NPI:1881635126
Name:TORRES, JENIFFER (MSW)
Entity Type:Individual
Prefix:
First Name:JENIFFER
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CIUDAD JARDIN I BUZON 6 ,CALLE GUAYACAN
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-636-9359
Mailing Address - Fax:787-751-9119
Practice Address - Street 1:218 BROOKE ST
Practice Address - Street 2:BLDG 228 FORT BUCHANAN
Practice Address - City:FORT BUCHANAN
Practice Address - State:PR
Practice Address - Zip Code:00934-4206
Practice Address - Country:US
Practice Address - Phone:787-707-3710
Practice Address - Fax:787-707-2770
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR60931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6093OtherMSW LICENCE