Provider Demographics
NPI:1679754501
Name:TORRES-ORTIZ, VICTOR JESUS (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JESUS
Last Name:TORRES-ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:44 CALLE CEIBA
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2080
Mailing Address - Country:US
Mailing Address - Phone:787-604-3572
Mailing Address - Fax:
Practice Address - Street 1:909 AVE TITO CASTRO
Practice Address - Street 2:SUITE #812 TORRE MEDICA SAN LUCAS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-812-2604
Practice Address - Fax:787-812-5279
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18628207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHT603ZMedicare UPIN