MEDICARE: JENIFFER TORRES MSW

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	6093	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6093	OTHER	PR	MSW LICENCE

General Provider Information

NPI Number	:	1881635126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENIFFER TORRES MSW

Provider Business Mailing Address
First Line	:	CIUDAD JARDIN I BUZON 6 ,CALLE GUAYACAN
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729
Country	:	US
Telephone Number	:	787-636-9359
Fax Number	:	787-751-9119

Provider Business Practice Location Address
First Line	:	218 BROOKE ST
Second Line	:	BLDG 228 FORT BUCHANAN
City	:	FORT BUCHANAN
State	:	PR
Zip	:	00934-4206
Country	:	US
Telephone Number	:	787-707-3710
Fax Number	:	787-707-2770

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/01/2008

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