Provider Demographics
NPI:1942606330
Name:TORRES, GLORIBELLE
Entity Type:Individual
Prefix:
First Name:GLORIBELLE
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 1:5 CALLE INDICO
Mailing Address - Street 2:COLINAS DE CAYEY
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4438
Mailing Address - Country:US
Mailing Address - Phone:787-366-8191
Mailing Address - Fax:
Practice Address - Street 1:T1 CALLE 28
Practice Address - Street 2:TURABO GARDENS 2
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-5947
Practice Address - Country:US
Practice Address - Phone:787-744-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR680235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist