Individual
GUSTAVO IVAN TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
BO JUAN SANCHEZ PR #2 KM 8.5, BAYAMON, PR 00960-0248
(787) 782-8250
Mailing address
BO JUAN SANCHEZ PR #2 KM 8.5, BAYAMON, PR 00960
(787) 782-8250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
629
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8332
EMPLOY
PR
Enumeration date
12/13/2022
Last updated
12/13/2022
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