Healthcare Provider Details

I. General information

NPI: 1811185960
Provider Name (Legal Business Name): YESMIN TORRES TORRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 AVE AVELINO VICENTE
SAN JUAN PR
00909-2615
US

IV. Provider business mailing address

PO BOX 11
BOQUERON PR
00622-0011
US

V. Phone/Fax

Practice location:
  • Phone: 787-644-9628
  • Fax:
Mailing address:
  • Phone: 787-243-2274
  • Fax: 787-724-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1002
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: