Provider Demographics
NPI:1457329252
Name:TORRES, EDUARDO IVAN (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:IVAN
Last Name:TORRES
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:P. O. BOX 926
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-785-6766
Mailing Address - Fax:787-785-6680
Practice Address - Street 1:CALLE I #49
Practice Address - Street 2:HNAS. DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-785-6766
Practice Address - Fax:787-785-6680
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13339207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH82250Medicare UPIN
PR20334TOMedicare ID - Type Unspecified