Provider Demographics
NPI:1073339909
Name:TORRES-DAVILA, PALOMA (PHD)
Entity type:Individual
Prefix:DR
First Name:PALOMA
Middle Name:
Last Name:TORRES-DAVILA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLAS DEL RIO
Mailing Address - Street 2:CALLE 15 D32
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:939-202-9048
Mailing Address - Fax:
Practice Address - Street 1:URB VILLAS DEL RIO
Practice Address - Street 2:CALLE 15 D32
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:939-202-9048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5883103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist