Provider Demographics
NPI:1245238641
Name:SANABRIA-TORRES, OLGA T (MD)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:T
Last Name:SANABRIA-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 1056
Mailing Address - Street 2:URB. MONTE CAILO MARGINAL 125 ST
Mailing Address - City:VEGA BOYD
Mailing Address - State:PR
Mailing Address - Zip Code:00693-0125
Mailing Address - Country:US
Mailing Address - Phone:787-858-0763
Mailing Address - Fax:
Practice Address - Street 1:URB. MONTE CAILO MARGINAL 125 ST
Practice Address - Street 2:
Practice Address - City:VEGA BOYD
Practice Address - State:PR
Practice Address - Zip Code:00693-0125
Practice Address - Country:US
Practice Address - Phone:787-858-0763
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28237Medicare ID - Type Unspecified
C79734Medicare UPIN