Provider Demographics
NPI:1497951669
Name:PEREZ-TORRES, ROSA IVETTE (MD, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:IVETTE
Last Name:PEREZ-TORRES
Suffix:
Gender:F
Credentials:MD, MPH, MS
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 10241
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0241
Mailing Address - Country:US
Mailing Address - Phone:000-000-0000
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:29 CALLE BASILIO CATALA
Practice Address - Street 2:# 710
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-7604
Practice Address - Country:US
Practice Address - Phone:787-292-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7663208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics