Provider Demographics
NPI:1235389941
Name:TORRES-PLATA, JAIME GERARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:GERARDO
Last Name:TORRES-PLATA
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:COLINAS DE FAIRVIEW
Mailing Address - Street 2:CALLE 223 4S41
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-382-6330
Mailing Address - Fax:
Practice Address - Street 1:CARR 31 KM 4.0
Practice Address - Street 2:NAGUABO MEDICAL MALL
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718
Practice Address - Country:US
Practice Address - Phone:787-232-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR181202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry