Provider Demographics
NPI:1225039431
Name:TORRES-ORTIZ, ALWIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALWIN
Middle Name:L
Last Name:TORRES-ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 CALLE CIPRES
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5115
Mailing Address - Country:US
Mailing Address - Phone:787-764-7714
Mailing Address - Fax:787-764-7714
Practice Address - Street 1:702 CALLE CIPRES
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-5115
Practice Address - Country:US
Practice Address - Phone:787-764-7714
Practice Address - Fax:787-764-7714
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR009946208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF76087Medicare UPIN