1881635126 NPI number — JENIFFER TORRES MSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881635126 NPI number — JENIFFER TORRES MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRES
Provider First Name:
JENIFFER
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881635126
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
218 BROOKE ST
Provider Second Line Business Practice Location Address:
BLDG 228 FORT BUCHANAN
Provider Business Practice Location Address City Name:
FORT BUCHANAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00934-4206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-707-3710
Provider Business Practice Location Address Fax Number:
787-707-2770
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6093 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6093 . This is a "MSW LICENCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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