MEDICARE: CRISELDA TORRES SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	102149	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134231020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISELDA TORRES SLP

Provider Business Mailing Address
First Line	:	702 N 18TH AVE
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-2620
Country	:	US
Telephone Number	:	956-279-5889
Fax Number	:	956-630-5860

Provider Business Practice Location Address
First Line	:	702 N 18TH AVE
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-2620
Country	:	US
Telephone Number	:	956-279-5889
Fax Number	:	956-630-5860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/14/2010

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Directions to “ CRISELDA TORRES SLP” Practice Location

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