Provider Demographics
NPI:1952485724
Name:TORRES TOMASSINI, GRISEL MARIE (MD)
Entity Type:Individual
Prefix:
First Name:GRISEL
Middle Name:MARIE
Last Name:TORRES TOMASSINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:AVENUE AMERICO MIRANDA
Mailing Address - Street 2:#1583 APT. B CAPARRA TERRACE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:787-528-4593
Mailing Address - Fax:787-726-5223
Practice Address - Street 1:AMERICO SALAS STREET
Practice Address - Street 2:#1452
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-722-1460
Practice Address - Fax:787-726-5223
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16595208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice