Healthcare Provider Details

I. General information

NPI: 1760219091
Provider Name (Legal Business Name): MRS. YAHIRA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/25/2024
Certification Date: 09/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 81.4 BO. CARRIZALES
HATILLO PR
00659
US

IV. Provider business mailing address

112 AVEPUERTO RICO EXT TANAMA
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-544-4856
  • Fax: 787-544-3125
Mailing address:
  • Phone: 787-396-5665
  • Fax: 787-544-3125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number632
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: