Provider Demographics
NPI:1558801795
Name:QUILES TORRES, CARLOS JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:JAVIER
Last Name:QUILES TORRES
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 1:156 CALLE MARTINETE
Mailing Address - Street 2:MONTEHIEDRA URB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7102
Mailing Address - Country:US
Mailing Address - Phone:787-547-6603
Mailing Address - Fax:
Practice Address - Street 1:156 CALLE MARTINETE
Practice Address - Street 2:MONTEHIEDRA URB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7102
Practice Address - Country:US
Practice Address - Phone:787-547-6603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19585202C00000X, 208D00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist