Provider Demographics
NPI:1922990852
Name:GONZALEZ TORRES, SOFIA MARIE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:MARIE
Last Name:GONZALEZ TORRES
Suffix:
Gender:F
Credentials:MS, OTR/L
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 29265
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0265
Mailing Address - Country:US
Mailing Address - Phone:787-503-5631
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 29265
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00929-0265
Practice Address - Country:US
Practice Address - Phone:787-503-5631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist