Provider Demographics
NPI:1790412005
Name:TORRES-LEBRON, ELIZABETH ROSER
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSER
Last Name:TORRES-LEBRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0048
Mailing Address - Country:US
Mailing Address - Phone:787-413-9713
Mailing Address - Fax:
Practice Address - Street 1:BARRIO COTTO MABU
Practice Address - Street 2:CARR 198 KM 26.0
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-0079
Practice Address - Country:US
Practice Address - Phone:787-413-9713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program