Healthcare Provider Details

I. General information

NPI: 1427500586
Provider Name (Legal Business Name): NEYSHALIZ TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 URB CATALANA
BARCELONETA PR
00617-2725
US

IV. Provider business mailing address

PO BOX 8901 PMB 057
HATILLO PR
00659
US

V. Phone/Fax

Practice location:
  • Phone: 787-462-9480
  • Fax:
Mailing address:
  • Phone: 787-452-0277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number7056
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: