Provider Demographics
NPI:1669417994
Name:TORRES, ORLANDO
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:TORRES
Suffix:
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:COND. LAS CARMELITAS
Mailing Address - Street 2:APT. 12A SAN JORGE 364
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3318
Mailing Address - Country:US
Mailing Address - Phone:787-721-5978
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA DE DIEGO CALLE CANADA 1324
Practice Address - Street 2:CSM SAN PATRICIO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-793-2790
Practice Address - Fax:787-781-2282
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1267103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6-2318Medicare ID - Type UnspecifiedPSYCHOLOGIEST