Provider Demographics
NPI:1780133769
Name:TORRES CRUZ, LUIS AMERICO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:AMERICO
Last Name:TORRES CRUZ
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 1:1172 COM CARACOLES 3
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-2616
Mailing Address - Country:US
Mailing Address - Phone:787-612-4068
Mailing Address - Fax:
Practice Address - Street 1:1172 COM CARACOLES 3
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-2616
Practice Address - Country:US
Practice Address - Phone:787-612-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-01
Last Update Date:2016-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR135671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical