Provider Demographics
NPI:1366640054
Name:TORRES, LUISA I
Entity Type:Individual
Prefix:MRS
First Name:LUISA
Middle Name:I
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE POMAROSA #72
Mailing Address - Street 2:MONTE ELENA
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-459-6184
Mailing Address - Fax:
Practice Address - Street 1:72 CALLE POMAROSAS
Practice Address - Street 2:MONTE ELENA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5602
Practice Address - Country:US
Practice Address - Phone:787-459-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-4373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport