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Individual

LUIS W TORRES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104
(215) 662-8244
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8244

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
L60A00387
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
RN352434L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013870O50
MEDICARE PTAN
DE
05
1659302412
DE
01
P00111611
RAILROAD MEDICARE
DE
Enumeration date
07/06/2006
Last updated
08/28/2018
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