1881796100 NPI number — DR. EFRAIN TORRES PH.D, LCSW, ACSW

Table of content: DR. EFRAIN TORRES PH.D, LCSW, ACSW (NPI 1881796100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881796100 NPI number — DR. EFRAIN TORRES PH.D, LCSW, ACSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRES
Provider First Name:
EFRAIN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D, LCSW, ACSW
Provider Gender Code:
M

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:
1881796100
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1234
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00726-1234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-653-6672
Provider Business Mailing Address Fax Number:
787-258-0869

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. TURABO GARDENS
Provider Second Line Business Practice Location Address:
M6 STREET 43
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-6672
Provider Business Practice Location Address Fax Number:
787-258-0869
Provider Enumeration Date:
09/05/2006

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:  4504 , 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: 337905 . This is a "LCSW FHC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 697 . This is a "LCSW APS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 50128 . This is a "LCSW TRIPLE SSS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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