Provider Demographics
NPI:1669663589
Name:TORRES, LESLIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:C
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:C5 CALLE MENFIAS
Mailing Address - Street 2:VILLAS DE CUPEY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7609
Mailing Address - Country:US
Mailing Address - Phone:787-640-4244
Mailing Address - Fax:
Practice Address - Street 1:C5 CALLE MENFIAS
Practice Address - Street 2:VILLAS DE CUPEY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7609
Practice Address - Country:US
Practice Address - Phone:787-640-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13056208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice