MEDICARE: JESSY JOAN TORRES MARTINEZ MSW, PH.D, NSL

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	1041C0700X	Clinical Social Worker	8686	PR

General Provider Information

NPI Number	:	1326060765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSY JOAN TORRES MARTINEZ MSW, PH.D, NSL

Provider Business Mailing Address
First Line	:	PO BOX 414
Second Line	:
City	:	AGUIRRE
State	:	PR
Zip	:	00704-0414
Country	:	US
Telephone Number	:	787-325-6737
Fax Number	:	787-537-7402

Provider Business Practice Location Address
First Line	:	10 CALLE GUAYAMA
Second Line	:
City	:	SALINAS
State	:	PR
Zip	:	00751-3314
Country	:	US
Telephone Number	:	787-325-6737
Fax Number	:	787-537-7402

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/30/2022

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