Provider Demographics
NPI:1992699763
Name:RODRIGUEZ TORRES, YASHIRA MARIE (MED , CPL)
Entity type:Individual
Prefix:
First Name:YASHIRA
Middle Name:MARIE
Last Name:RODRIGUEZ TORRES
Suffix:
Gender:F
Credentials:MED , CPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BOSQUE SERENO APT 219
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-4425
Mailing Address - Country:US
Mailing Address - Phone:787-539-2353
Mailing Address - Fax:
Practice Address - Street 1:501 AVE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3379
Practice Address - Country:US
Practice Address - Phone:787-539-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4782101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health