Provider Demographics
NPI:1376524181
Name:MILLAND TORRES, ANTONIO A (MD)
Entity Type:Individual
Prefix:
First Name:ANTONIO
Middle Name:A
Last Name:MILLAND TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1209
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1209
Mailing Address - Country:US
Mailing Address - Phone:787-747-0320
Mailing Address - Fax:787-747-0320
Practice Address - Street 1:32 ACOSTA ST
Practice Address - Street 2:STE 202
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-1209
Practice Address - Country:US
Practice Address - Phone:787-747-0320
Practice Address - Fax:787-747-0320
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR87802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080921Medicare ID - Type Unspecified