Provider Demographics
NPI:1700861291
Name:TORRES PEREZ, BRENDA MARGARITA (MD)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:MARGARITA
Last Name:TORRES PEREZ
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:CENTRO DE SALUD FAMILIAR HOSPITAL MENONITA
Mailing Address - Street 2:AVE. INDUSTRIAL EL JIBARO OFICINA #105
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-739-6688
Mailing Address - Fax:787-739-6688
Practice Address - Street 1:PARQUE INDUSTRIAL AVE. EL JIBARO OFFICE 105
Practice Address - Street 2:CENTRO DE SALUD FAMILIAR CIDRA
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-6688
Practice Address - Fax:787-739-6688
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16093146D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-51764Medicare UPIN