Provider Demographics
NPI:1962641761
Name:TORRES, ALEXIS RENTAS (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:RENTAS
Last Name:TORRES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA DEL CARMEN 936 SAMARIA ST.
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2127
Mailing Address - Country:US
Mailing Address - Phone:787-367-1087
Mailing Address - Fax:
Practice Address - Street 1:CALLE WILLIE ROSARIO
Practice Address - Street 2:# 16
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-367-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3290103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling