Provider Demographics
NPI:1598881864
Name:TORRES-MOJICA, ILIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ILIANA
Middle Name:
Last Name:TORRES-MOJICA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:151 CALLE CESAR GONZALEZ APT 3704
Mailing Address - Street 2:CONDOMINIO PLAZA ANTILLANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-5112
Mailing Address - Country:US
Mailing Address - Phone:787-398-5888
Mailing Address - Fax:787-774-6251
Practice Address - Street 1:151 CALLE CESAR GONZALEZ APT 3704
Practice Address - Street 2:CONDOMINIO PLAZA ANTILLANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-5112
Practice Address - Country:US
Practice Address - Phone:787-398-5888
Practice Address - Fax:787-774-6251
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2019-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR14899208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14889OtherSTATE LICENSE