Provider Demographics
NPI:1306991575
Name:TORRES FRED, RUTH M (PHL)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:M
Last Name:TORRES FRED
Suffix:
Gender:F
Credentials:PHL
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 360325
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0325
Mailing Address - Country:US
Mailing Address - Phone:787-767-6710
Mailing Address - Fax:787-758-0950
Practice Address - Street 1:AVENIDA HOSTOS
Practice Address - Street 2:# 1274
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732
Practice Address - Country:US
Practice Address - Phone:787-767-6710
Practice Address - Fax:787-758-0950
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist