Provider Demographics
NPI:1548688815
Name:TORRES, ANGELICA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUCHVILLE PARK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1819
Mailing Address - Country:US
Mailing Address - Phone:787-490-5400
Mailing Address - Fax:
Practice Address - Street 1:SUCHVILLE PARK
Practice Address - Street 2:SUITE 201
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1819
Practice Address - Country:US
Practice Address - Phone:787-490-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5608103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical