Provider Demographics
NPI:1487661054
Name:TORRES MUNOZ, DINORAH (MD)
Entity Type:Individual
Prefix:DR
First Name:DINORAH
Middle Name:
Last Name:TORRES MUNOZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DINORAH
Other - Middle Name:
Other - Last Name:TORRES MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1058
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963-1058
Mailing Address - Country:US
Mailing Address - Phone:787-261-0877
Mailing Address - Fax:
Practice Address - Street 1:MARGINAL ESTE B-2117
Practice Address - Street 2:2DA SECC LEVITOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-261-0877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9483208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR061837OtherLA CRUZ AZUL DE PR
PR6320027OtherHUMANA
PR6161OtherINTERNATIONAL MEDICAL CAR
PR061837OtherLA CRUZ AZUL DE PR
PRE66487Medicare UPIN