Provider Demographics
NPI:1093030272
Name:TORRES SILVA, BENITO (MD)
Entity Type:Individual
Prefix:MR
First Name:BENITO
Middle Name:
Last Name:TORRES SILVA
Suffix:
Gender:M
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:P.O BOX 8723
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00732
Mailing Address - Country:UM
Mailing Address - Phone:787-989-2076
Mailing Address - Fax:787-841-6517
Practice Address - Street 1:CALLE WILSON 2011
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00730
Practice Address - Country:UM
Practice Address - Phone:787-989-2076
Practice Address - Fax:787-841-6517
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9908208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice