Healthcare Provider Details

I. General information

NPI: 1770210007
Provider Name (Legal Business Name): BEPRESENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 CALLE LOS ANDES
SAN JUAN PR
00926
US

IV. Provider business mailing address

1275 CALLE LOS ANDES
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-249-0593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ATABEY TORRES LORENZO
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 787-548-3690