Provider Demographics
NPI:1881796100
Name:TORRES, EFRAIN (PHD, LCSW, ACSW)
Entity type:Individual
Prefix:DR
First Name:EFRAIN
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:PHD, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1234
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1234
Mailing Address - Country:US
Mailing Address - Phone:787-653-6672
Mailing Address - Fax:787-258-0869
Practice Address - Street 1:URB. TURABO GARDENS
Practice Address - Street 2:M6 STREET 43
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-653-6672
Practice Address - Fax:787-258-0869
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR45041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR337905OtherLCSW FHC
PR697OtherLCSW APS
PR50128OtherLCSW TRIPLE SSS
PRQ11475Medicare UPIN
PR697OtherLCSW APS