Healthcare Provider Details

I. General information

NPI: 1427965953
Provider Name (Legal Business Name): TAMARA B TORRES MARRERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. VILLA DEL CARMEN CALLE 1 AI10
GURABO PR
00778
US

IV. Provider business mailing address

URB. VILLA DEL CARMEN CALLE 1 AI10
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-210-1601
  • Fax:
Mailing address:
  • Phone: 787-210-1601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7476
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: