Provider Demographics
NPI:1598786154
Name:TORRES, SARA YANETT (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:YANETT
Last Name:TORRES
Suffix:
Gender:F
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:CAMINO MANGO #287 SABANERA DEL RIO
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-5243
Mailing Address - Country:US
Mailing Address - Phone:787-744-3675
Mailing Address - Fax:787-258-2233
Practice Address - Street 1:SABANERA DEL RIO MANGO#287
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-5243
Practice Address - Country:US
Practice Address - Phone:787-744-3675
Practice Address - Fax:787-258-2233
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13166208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH05648Medicare UPIN