Healthcare Provider Details

I. General information

NPI: 1306514559
Provider Name (Legal Business Name): DR. GADIER RICARDO TORRES SOTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE MILITAR CARR. #2, BO. YEGUADA EDIFICIO ROSA, SUITE 206
CAMUY PR
00627
US

IV. Provider business mailing address

PO BOX 965
CAMUY PR
00627-0965
US

V. Phone/Fax

Practice location:
  • Phone: 787-393-1984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7087
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: