Provider Demographics
NPI:1629261110
Name:TORRES-MATUNDAN, ELBA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELBA
Middle Name:
Last Name:TORRES-MATUNDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELBA
Other - Middle Name:
Other - Last Name:TORRES ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:198 CALLE TRINIDAD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2900
Mailing Address - Country:US
Mailing Address - Phone:787-605-5048
Mailing Address - Fax:787-269-6442
Practice Address - Street 1:198 CALLE TRINIDAD STE 102
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2900
Practice Address - Country:US
Practice Address - Phone:787-726-5486
Practice Address - Fax:787-268-4417
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14991207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology