Provider Demographics
NPI:1114012218
Name:SEGARRA TORRES, AMAURY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAURY
Middle Name:
Last Name:SEGARRA TORRES
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:PARQUE MONTERREY 1 110 CALLE MONTERREY
Mailing Address - Street 2:APT 202
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1335
Mailing Address - Country:US
Mailing Address - Phone:787-284-2726
Mailing Address - Fax:
Practice Address - Street 1:AVE UNIVERSIDAD INTERAMERICANA ANTIGUA CALLE LUNA 18
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15165207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine