Provider Demographics
NPI:1891038246
Name:TORRES, LUZ MARIE (MPSY)
Entity Type:Individual
Prefix:MISS
First Name:LUZ
Middle Name:MARIE
Last Name:TORRES
Suffix:
Gender:F
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ROOSEVELT ST. COCO NUEVO
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-2613
Mailing Address - Country:US
Mailing Address - Phone:787-249-6305
Mailing Address - Fax:
Practice Address - Street 1:12 ROOSEVELT ST. COCO NUEVO
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-2613
Practice Address - Country:US
Practice Address - Phone:787-249-6305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4734103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling