Provider Demographics
NPI:1578299954
Name:TORRES, LUIS G (RN)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:G
Last Name:TORRES
Suffix:
Gender:M
Credentials:RN
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 877
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0877
Mailing Address - Country:US
Mailing Address - Phone:939-266-2850
Mailing Address - Fax:
Practice Address - Street 1:BO SALTILLO VACA CARR. 518 KM 1.0
Practice Address - Street 2:
Practice Address - City:ADJUNTA
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:939-266-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR96331163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse