Provider Demographics
NPI:1306985742
Name:TORRES, VICTOR ROBERTO
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:ROBERTO
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 ENCANTO TER
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-2521
Mailing Address - Country:US
Mailing Address - Phone:760-693-9584
Mailing Address - Fax:
Practice Address - Street 1:220 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2392
Practice Address - Country:US
Practice Address - Phone:760-351-2800
Practice Address - Fax:760-351-7701
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor