Provider Demographics
NPI:1689454902
Name:TORRES PASSALACQUA, HECTOR JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JOSE
Last Name:TORRES PASSALACQUA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 CALLE DEL PARQUE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1919
Mailing Address - Country:US
Mailing Address - Phone:787-722-5422
Mailing Address - Fax:
Practice Address - Street 1:146 CALLE DEL PARQUE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1919
Practice Address - Country:US
Practice Address - Phone:939-253-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor