Provider Demographics
NPI:1467262428
Name:TORRES RIVERA, JOSSELYN MARIE
Entity type:Individual
Prefix:
First Name:JOSSELYN
Middle Name:MARIE
Last Name:TORRES RIVERA
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 1:707 URB LA ALBORADA
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1579
Mailing Address - Country:US
Mailing Address - Phone:787-319-5188
Mailing Address - Fax:
Practice Address - Street 1:13 CALLE ANGEL G MARTINEZ
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1914
Practice Address - Country:US
Practice Address - Phone:939-372-9034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR155571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical