Healthcare Provider Details

I. General information

NPI: 1356267207
Provider Name (Legal Business Name): MARIA TORRES MARRERO 101YM0800X
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILLA ROCA H6 CALLE # 23
MOROVIS PR
00687-2010
US

IV. Provider business mailing address

VILLA ROCA H6 CALLE # 23
MOROVIS PR
00687-2010
US

V. Phone/Fax

Practice location:
  • Phone: 939-254-5990
  • Fax:
Mailing address:
  • Phone: 939-254-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4384
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: