Provider Demographics
NPI:1922219856
Name:TORRES, LIZETTE M (MD)
Entity Type:Individual
Prefix:DR
First Name:LIZETTE
Middle Name:M
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:PAISAJE DEL LAGO
Mailing Address - Street 2:CAMINO DEL VALLE F 3
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773
Mailing Address - Country:US
Mailing Address - Phone:787-485-2665
Mailing Address - Fax:787-250-7829
Practice Address - Street 1:PAISAJE DEL LAGO
Practice Address - Street 2:CAMINO DEL VALLE APDO 95
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773
Practice Address - Country:US
Practice Address - Phone:787-764-4320
Practice Address - Fax:787-250-7829
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics