Healthcare Provider Details

I. General information

NPI: 1649160979
Provider Name (Legal Business Name): DR. HECTOR OMAR TORRES-CAMBIAZO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA OFICINA 6 PR695 KM 2.0
DORADO PR
00646
US

IV. Provider business mailing address

URB SOL Y MAR #246 PASEO LUNA
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 939-545-5241
  • Fax:
Mailing address:
  • Phone: 787-382-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8592
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: