Provider Demographics
NPI:1508880519
Name:TORRES, JOSE ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANTONIO
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSE
Other - Middle Name:ANTONIO
Other - Last Name:TORRES-FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2126
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-2126
Mailing Address - Country:US
Mailing Address - Phone:787-736-1825
Mailing Address - Fax:787-715-5325
Practice Address - Street 1:CARR 183 KM 10.4
Practice Address - Street 2:BARRIO QUEMADO
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-736-1825
Practice Address - Fax:787-715-5325
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11479208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400142OtherMEDICARE Y MUCHO MAS
PR7540046OtherHUMANA HEALTH PLAN
PR080117OtherCRUZ AZUL DE PR
PR201839OtherPREFERRED HEALTH
PR3111479OtherUIA
PR84316OtherTRIPLE S
PRG40287Medicare UPIN
PR2962OtherPREFERRED MEDICARE CHOICE
PR7540046OtherHUMANA INSURANCE
PR0084316Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER