Individual
IXIA REYES TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
1484 AVE FD ROOSVELT, SAN JUAN, PR 00920-2724
(787) 949-1066
Mailing address
COND BORINQUEN PARK # I, 1484 AVE FD ROOSVELT, SAN JUAN, PR 00911-1148
(787) 949-1066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9260
PR
1041C0700X
Clinical Social Worker
9260
PR
Other
Enumeration date
02/26/2016
Last updated
03/23/2016
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