Provider Demographics
NPI:1841394079
Name:TORRELLAS, RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:TORRELLAS
Suffix:
Gender:M
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:PO BOX 7009
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7009
Mailing Address - Country:US
Mailing Address - Phone:787-787-3535
Mailing Address - Fax:787-230-0314
Practice Address - Street 1:CENTRO DE MEDICINA ESPECIALIZADA DOCTORS CENTER
Practice Address - Street 2:URB IND CORUJO 2 CALLE E
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-787-3535
Practice Address - Fax:787-230-0314
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13412208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13412OtherMEDICAL LICENSE
PRH69773Medicare UPIN