Provider Demographics
NPI:1467462697
Name:TORRES, LUZ E (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:E
Last Name: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 7597
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00916-7597
Mailing Address - Country:US
Mailing Address - Phone:787-287-0900
Mailing Address - Fax:787-287-0930
Practice Address - Street 1:HOSPITAL PAVIA
Practice Address - Street 2:1462 ASIA STREET
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910
Practice Address - Country:US
Practice Address - Phone:787-287-0900
Practice Address - Fax:787-287-0930
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8080174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1228Medicare ID - Type Unspecified