Individual
DR. MARIO TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE A #41 BDA NUEVA, UTUADO, PR 00641-1500
(787) 894-4394
Mailing address
PO BOX 1500, UTUADO, PR 00641-1500
(787) 894-4394
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9668
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068512
CRUZ AZUL PROVIDER NUMBER
PR
01
—
8-1893(TO)
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
07/10/2006
Last updated
07/08/2007
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