Healthcare Provider Details

I. General information

NPI: 1609575406
Provider Name (Legal Business Name): BIANCA GERALDINE TORRES MARTELL MCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR PR-2
MAYAGUEZ PR
00681
US

IV. Provider business mailing address

54 CALLE DR RIVERA OLAN
MAYAGUEZ PR
00680-5221
US

V. Phone/Fax

Practice location:
  • Phone: 787-833-0663
  • Fax:
Mailing address:
  • Phone: 787-531-3067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16957
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: