Provider Demographics
NPI:1528339603
Name:TORRES RIVERA, CARMEN L (MPSY)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:L
Last Name:TORRES RIVERA
Suffix:
Gender:F
Credentials:MPSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 71 BOX 3122
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-9539
Mailing Address - Country:US
Mailing Address - Phone:787-399-0308
Mailing Address - Fax:
Practice Address - Street 1:HC 71 BOX 3122
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-9539
Practice Address - Country:US
Practice Address - Phone:787-399-0308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2512103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist