Provider Demographics
NPI:1831655216
Name:GRAFALS & TORRES MEDICAL MANAGEMENT PSC
Entity Type:Organization
Organization Name:GRAFALS & TORRES MEDICAL MANAGEMENT PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRAFALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-677-6711
Mailing Address - Street 1:50 SHELL CASTLE CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-6056
Mailing Address - Country:US
Mailing Address - Phone:787-677-6711
Mailing Address - Fax:
Practice Address - Street 1:50 SHELL CASTLE CLUB DR
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-6056
Practice Address - Country:US
Practice Address - Phone:787-677-6711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care