Provider Demographics
NPI:1316297666
Name:CATALA-TORRES, IRIS WALESKA (PSYD,MS,MRC)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:WALESKA
Last Name:CATALA-TORRES
Suffix:
Gender:F
Credentials:PSYD,MS,MRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 AVE ALEJANDRINO
Mailing Address - Street 2:PMB 298
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4800
Mailing Address - Country:US
Mailing Address - Phone:787-604-7078
Mailing Address - Fax:
Practice Address - Street 1:3071 AVE ALEJANDRINO
Practice Address - Street 2:PMB 298
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4800
Practice Address - Country:US
Practice Address - Phone:787-604-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR817101Y00000X
PR3858103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor