Provider Demographics
NPI:1114696499
Name:RODRIGUEZ-TORRES, HERIBERTO J (MD)
Entity Type:Individual
Prefix:DR
First Name:HERIBERTO
Middle Name:J
Last Name:RODRIGUEZ-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:PO BOX 1425
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1425
Mailing Address - Country:US
Mailing Address - Phone:787-858-6077
Mailing Address - Fax:
Practice Address - Street 1:50 CALLE JOSE J ACOSTA
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4487
Practice Address - Country:US
Practice Address - Phone:787-858-6077
Practice Address - Fax:787-858-6704
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022493208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice