Provider Demographics
NPI:1679755797
Name:TORRES, JORGE ADRIAN (RN BSN)
Entity Type:Individual
Prefix:MR
First Name:JORGE
Middle Name:ADRIAN
Last Name:TORRES
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LAS ALONDRAS CALLE 1 A31
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766
Mailing Address - Country:US
Mailing Address - Phone:787-844-0101
Mailing Address - Fax:787-842-7111
Practice Address - Street 1:BO. MACHUELO CARRETERA # 14
Practice Address - Street 2:HOSPITAL PSYQUIATORIA FORENSE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00732
Practice Address - Country:US
Practice Address - Phone:787-844-0101
Practice Address - Fax:787-842-7111
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17993163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse