Provider Demographics
NPI:1164556635
Name:TORRES, MARINA AMELIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:AMELIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 521
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0521
Mailing Address - Country:US
Mailing Address - Phone:787-831-6060
Mailing Address - Fax:787-831-5757
Practice Address - Street 1:16 CALLE DE DIEGO W
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4736
Practice Address - Country:US
Practice Address - Phone:787-831-6060
Practice Address - Fax:787-831-5757
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14742207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI 05064Medicare UPIN
PR0084925Medicare ID - Type Unspecified