Provider Demographics
NPI:1891532727
Name:TORRES FREIRE, MELISSA MARIA
Entity type:Individual
Prefix:
First Name:MELISSA MARIA
Middle Name:
Last Name:TORRES FREIRE
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 1:2444 SW 7TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3022
Mailing Address - Country:US
Mailing Address - Phone:786-853-9479
Mailing Address - Fax:
Practice Address - Street 1:2444 SW 7TH ST APT 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3022
Practice Address - Country:US
Practice Address - Phone:786-853-9479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-352039106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician