Provider Demographics
NPI:1619710274
Name:TORRES RODRIGUEZ, YOMAIRA (MSW)
Entity type:Individual
Prefix:
First Name:YOMAIRA
Middle Name:
Last Name:TORRES RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 AVENIDA TITO CASTRO
Mailing Address - Street 2:STE 102 PMB 496
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-298-8344
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION PASEO DEL PARQUE CALLE FLAMBOYAN H35
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-298-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR155411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical