Healthcare Provider Details

I. General information

NPI: 1689536880
Provider Name (Legal Business Name): MRS. SANDRA TORRES PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 AVE ROLANDO CABANAS
UTUADO PR
00641-2494
US

IV. Provider business mailing address

39 AVE ROLANDO CABANAS
UTUADO PR
00641-2494
US

V. Phone/Fax

Practice location:
  • Phone: 787-698-0073
  • Fax: 636-303-1822
Mailing address:
  • Phone: 787-698-0073
  • Fax: 636-303-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: