=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225963564
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LUIS D TORRES
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2026
-----------------------------------------------------
Last Update Date | 06/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | RESIDENCIAL LOS FLAMBOYANES EDIFICIO G. APARTAMENTO #42
-----------------------------------------------------
City | PENUELAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-328-7638
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | RESIDENCIAL LOS FLAMBOYANES EDIFICIO G. APARTAMENTO #42
-----------------------------------------------------
City | PENUELAS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-328-7638
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2355S0801X
-----------------------------------------------------
Taxonomy Name | Speech-Language Assistant
-----------------------------------------------------
License Number | 5020178
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------