Provider Demographics
NPI:1093788911
Name:TORRES-MORALES, PEDRO MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:MANUEL
Last Name:TORRES-MORALES
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 1:9 CALLE CESAR ORTIZ
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-2143
Mailing Address - Country:US
Mailing Address - Phone:787-861-0387
Mailing Address - Fax:787-861-1789
Practice Address - Street 1:SECTOR BATEY COLUMBIA CARRETERA 759
Practice Address - Street 2:
Practice Address - City:MAUNABO
Practice Address - State:PR
Practice Address - Zip Code:00707
Practice Address - Country:US
Practice Address - Phone:787-861-0387
Practice Address - Fax:787-861-1789
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9322208D00000X
MI4301086847208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE 48210Medicare UPIN
PR8-1905Medicare ID - Type Unspecified