Provider Demographics
NPI:1043462724
Name:TORRENS BONANO, LYNDA K (MD)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:K
Last Name:TORRENS BONANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CIUDAD JARDIN DE CANOVANAS
Mailing Address - Street 2:PASEO HERMOSO 462
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-556-7328
Mailing Address - Fax:787-256-5889
Practice Address - Street 1:AVE GENERAL VALERO 303
Practice Address - Street 2:SUITE 201
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-655-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17365146D00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant