Provider Demographics
NPI:1548218084
Name:TORRES LOPEZ, MILFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:MILFORD
Middle Name:
Last Name:TORRES LOPEZ
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 1:381 PASEO MONTE APT 1607
Mailing Address - Street 2:AVE. FELISA R GAUTIER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-778-5353
Mailing Address - Fax:787-778-5302
Practice Address - Street 1:J 23 AVE. BETANCES
Practice Address - Street 2:HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-778-5353
Practice Address - Fax:787-778-5354
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15005208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22126Medicare ID - Type Unspecified
I02087Medicare UPIN