Provider Demographics
NPI:1174103642
Name:TORRES LORENZO, ATABEY (PHD)
Entity type:Individual
Prefix:
First Name:ATABEY
Middle Name:
Last Name:TORRES LORENZO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE LOS ANDES
Mailing Address - Street 2:1275
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-249-0593
Mailing Address - Fax:
Practice Address - Street 1:DE DIEGO CHALETS,
Practice Address - Street 2:474 CALLE DE DIEGO, APT. 54
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-0092
Practice Address - Country:US
Practice Address - Phone:787-548-3690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical