=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548074180
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ISACHY TORRES MS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2025
-----------------------------------------------------
Last Update Date | 02/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BO. ALGARROBO CARR. #2 KM. 41.6
-----------------------------------------------------
City | VEGA BAJA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-331-8022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PARC. BARAHONA 158 CALLE JOSE PARES
-----------------------------------------------------
City | MOROVIS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00687-2218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-510-9331
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 8057
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------