Provider Demographics
NPI:1982690046
Name:TORRES, ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:TORRES
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 19916
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1916
Mailing Address - Country:US
Mailing Address - Phone:787-729-0808
Mailing Address - Fax:787-729-1955
Practice Address - Street 1:650 CALLE LLOVERAS
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2110
Practice Address - Country:US
Practice Address - Phone:787-729-1768
Practice Address - Fax:787-729-1955
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11641174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR060162OtherPROVIDER # CRUZ AZUL
PR060162OtherPROVIDER # CRUZ AZUL
PRG41208Medicare UPIN