Provider Demographics
NPI:1669788527
Name:TORRES, AILKA (MA)
Entity type:Individual
Prefix:
First Name:AILKA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N21 CALLE 8
Mailing Address - Street 2:VILLAS DE SAN AGUSTIN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-2055
Mailing Address - Country:US
Mailing Address - Phone:787-702-6126
Mailing Address - Fax:
Practice Address - Street 1:FF1 CALLE 18
Practice Address - Street 2:ALTURAS DE FLAMBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8063
Practice Address - Country:US
Practice Address - Phone:787-242-7230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-28
Last Update Date:2010-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2917103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist