Provider Demographics
NPI:1003807298
Name:AMY TORRES, EDUARDO L (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:L
Last Name:AMY TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7402
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7402
Mailing Address - Country:US
Mailing Address - Phone:787-844-8110
Mailing Address - Fax:787-842-7953
Practice Address - Street 1:COND TORRE DE ORO 2175 AVE. LAS AMERICAS
Practice Address - Street 2:SUITE 104
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0791
Practice Address - Country:US
Practice Address - Phone:787-844-8110
Practice Address - Fax:787-842-7953
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6188207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
27669OtherSSS
27669OtherSSS
D08432Medicare UPIN
069934OtherCRYZ AZUL