Individual
DR. WILSON EDDIE TORRES SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6151
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6151
LICENSE
PR
Enumeration date
06/28/2018
Last updated
08/12/2020
Update your record
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