Provider Demographics
NPI:1215065255
Name:TORRES-JIMENEZ, YANCI (PSYD)
Entity type:Individual
Prefix:DR
First Name:YANCI
Middle Name:
Last Name:TORRES-JIMENEZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB FLAMBOYANES
Mailing Address - Street 2:CALLE LILAS 1602
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-709-1762
Mailing Address - Fax:787-835-0261
Practice Address - Street 1:HC 7 BOX 2546
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731-9663
Practice Address - Country:US
Practice Address - Phone:787-677-5343
Practice Address - Fax:787-813-2238
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2819103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical