Provider Demographics
NPI:1013284074
Name:TORRES, MARLENE
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
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:AJ8 CALLE SONIA
Mailing Address - Street 2:VILLA RICA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4918
Mailing Address - Country:US
Mailing Address - Phone:787-904-9810
Mailing Address - Fax:
Practice Address - Street 1:AJ8 CALLE SONIA
Practice Address - Street 2:VILLA RICA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-4918
Practice Address - Country:US
Practice Address - Phone:787-904-9810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR169671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical