Provider Demographics
NPI:1427425982
Name:TORRES, NESTOR O SR (MSW)
Entity type:Individual
Prefix:MR
First Name:NESTOR
Middle Name:O
Last Name:TORRES
Suffix:SR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 905 KM 1.1
Mailing Address - Street 2:BO INGENIO
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:787-612-4466
Mailing Address - Fax:
Practice Address - Street 1:CARR 905 KM 1.1
Practice Address - Street 2:BO INGENIO
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-9653
Practice Address - Country:US
Practice Address - Phone:787-612-4466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR88751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical