Provider Demographics
NPI:1750056735
Name:CARLO TORRES, CARLOS A (DC)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:CARLO TORRES
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:URB. LEVITTOWN LAKES CALLE JUAN F. ACOSTA HS-84
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-205-6853
Mailing Address - Fax:
Practice Address - Street 1:652 AVE SAN PATRICIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4505
Practice Address - Country:US
Practice Address - Phone:939-231-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13662111N00000X
PR812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor