Provider Demographics
NPI:1235384231
Name:TORRES TORRES, KARLA MELISSA (MD)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:MELISSA
Last Name:TORRES TORRES
Suffix:
Gender:F
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 392
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-0392
Mailing Address - Country:US
Mailing Address - Phone:787-428-1581
Mailing Address - Fax:
Practice Address - Street 1:405 JUAN B RODRIGUEZ
Practice Address - Street 2:COND MIRADOR DEL PARQUE APT 504-2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3822
Practice Address - Country:US
Practice Address - Phone:787-428-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18172207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHQ967AMedicare PIN