Healthcare Provider Details

I. General information

NPI: 1225333024
Provider Name (Legal Business Name): ZOBEIDA TORRES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

M15 CALLE 12 URBANIZACION MEDINA
ISABELA PR
00662-3822
US

IV. Provider business mailing address

CALLE 12 M 15 URBANIZACION MEDINA
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 787-484-9798
  • Fax:
Mailing address:
  • Phone: 787-484-9798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8309
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: