Provider Demographics
NPI:1770658908
Name:TORRES, MILAGROS (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:
Last Name:TORRES
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:HC-67 BOX 121
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9998
Mailing Address - Country:US
Mailing Address - Phone:787-477-8442
Mailing Address - Fax:787-807-2930
Practice Address - Street 1:CARR 2 KM 39.5 BO ALGARROBO
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5671
Practice Address - Country:US
Practice Address - Phone:787-807-2279
Practice Address - Fax:787-807-2930
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15245208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-16799Medicare UPIN
PR22309Medicare ID - Type Unspecified