Provider Demographics
NPI:1760101281
Name:TORRES, LUIS GERARDO (DC)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:GERARDO
Last Name: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 1:225 CALLE DEL PARQUE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3247
Mailing Address - Country:US
Mailing Address - Phone:787-298-2274
Mailing Address - Fax:
Practice Address - Street 1:225 CALLE DEL PARQUE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3247
Practice Address - Country:US
Practice Address - Phone:787-298-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor