Provider Demographics
NPI:1356493043
Name:FLORES TORRENT, ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
Last Name:FLORES TORRENT
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:PO BOX 370523
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0523
Mailing Address - Country:US
Mailing Address - Phone:787-738-6808
Mailing Address - Fax:787-738-6808
Practice Address - Street 1:AVE. MUNOZ RIVERA # 4 SUR
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-6808
Practice Address - Fax:787-738-6808
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7836174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE-43419Medicare UPIN
PR2-9243Medicare ID - Type Unspecified