Individual
HECTOR C TORRES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6011
Mailing address
114 EXECUTIVE DR, SUITE E, LAFAYETTE, IN 47905-4883
(765) 446-0170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01063314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000515109
ANTHEM
IN
05
—
200859220
—
IN
Enumeration date
04/13/2007
Last updated
06/29/2009
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