Provider Demographics
NPI:1922669498
Name:TORRES, SAMANTHA (MS)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 57 BOX 15761
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9871
Mailing Address - Country:US
Mailing Address - Phone:787-546-4418
Mailing Address - Fax:
Practice Address - Street 1:CALLE VIOLETA SI-8
Practice Address - Street 2:URB VALLE HERMOSO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00602987100660
Practice Address - Country:UG
Practice Address - Phone:787-546-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4103235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty