Healthcare Provider Details

I. General information

NPI: 1437603792
Provider Name (Legal Business Name): JOSUE ALBERTO TORRES-SOTO PH. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2993 AVE MILITAR SECTOR LA CURVA
ISABELA PR
00662
US

IV. Provider business mailing address

HC 2 BOX 22319
AGUADILLA PR
00603-9052
US

V. Phone/Fax

Practice location:
  • Phone: 939-640-7549
  • Fax: 787-773-1020
Mailing address:
  • Phone: 787-340-5467
  • Fax: 787-773-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5735
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: