Provider Demographics
NPI:1710948625
Name:TORRES, JUSTER MANUEL
Entity Type:Individual
Prefix:DR
First Name:JUSTER
Middle Name:MANUEL
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AL21 CALLE 30
Mailing Address - Street 2:SANTA JUANITA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4706
Mailing Address - Country:US
Mailing Address - Phone:787-786-1300
Mailing Address - Fax:787-786-1300
Practice Address - Street 1:AL21 CALLE 30
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4706
Practice Address - Country:US
Practice Address - Phone:787-786-1300
Practice Address - Fax:787-786-1300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10138208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics