Provider Demographics
NPI:1558535336
Name:TORRES MARTINEZ, HERMES SR
Entity Type:Individual
Prefix:
First Name:HERMES
Middle Name:
Last Name:TORRES MARTINEZ
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CALLE DOMINGO COLON
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3421
Mailing Address - Country:US
Mailing Address - Phone:787-735-4847
Mailing Address - Fax:
Practice Address - Street 1:163 CALLE DOMINGO COLON
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3421
Practice Address - Country:US
Practice Address - Phone:787-735-4847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16937208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice