Provider Demographics
NPI:1265749691
Name:TORRES, RAYMOND GARCIA JR
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:GARCIA
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-434 KAHAKAI BLVD
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-9101
Mailing Address - Country:US
Mailing Address - Phone:808-895-2730
Mailing Address - Fax:
Practice Address - Street 1:15-434 KAHAKAI BLVD
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-9101
Practice Address - Country:US
Practice Address - Phone:808-895-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor