Provider Demographics
NPI:1861199457
Name:TORRES, LAURA KRISTAL
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KRISTAL
Last Name:TORRES
Suffix:
Gender:F
Credentials:
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 88
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-0088
Mailing Address - Country:US
Mailing Address - Phone:787-242-9989
Mailing Address - Fax:
Practice Address - Street 1:PARCELAS HATILLO CALLE #9 CASA 293 VILLALBA PR
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-0088
Practice Address - Country:US
Practice Address - Phone:787-242-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR77302355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant