Healthcare Provider Details

I. General information

NPI: 1053661330
Provider Name (Legal Business Name): CARMEN YAMARIL TORRES CINTRON PSICOLOGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARMEN YAMARIL TORRES CINTRON PSICOLOGA

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 4 BOX 10014 BO. SALTO ARRIBA SECTOR EL GUANO
UTUADO PR
00641
US

IV. Provider business mailing address

HC 4 BOX 10014 BO. SALTO ARRIBA SECTOR EL GUANO
UTUADO PR
00641
US

V. Phone/Fax

Practice location:
  • Phone: 787-397-7387
  • Fax:
Mailing address:
  • Phone: 787-397-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4215
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number4215
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number4215
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number4215
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4215
License Number StatePR
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4215
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: