Provider Demographics
NPI:1619955622
Name:TORRES-CABRERA, HECTOR R (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:R
Last Name:TORRES-CABRERA
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:PO BOX 330669
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-0669
Mailing Address - Country:US
Mailing Address - Phone:787-840-5577
Mailing Address - Fax:787-840-5577
Practice Address - Street 1:EDIFICIO PORRATA PILA2431LAS AMERICAS AVENUE
Practice Address - Street 2:SUITE210
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2116
Practice Address - Country:US
Practice Address - Phone:787-840-5577
Practice Address - Fax:787-840-5577
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5537174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77497Medicare UPIN
27142Medicare ID - Type Unspecified