Provider Demographics
NPI:1992468672
Name:TORRES GARCIA, EDGARDO JOSE
Entity Type:Individual
Prefix:
First Name:EDGARDO
Middle Name:JOSE
Last Name:TORRES GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MARIANI CALLE DR. LOPEZ NUSSA
Mailing Address - Street 2:#7520 PONCE PR
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0247
Mailing Address - Country:US
Mailing Address - Phone:787-463-8117
Mailing Address - Fax:
Practice Address - Street 1:URB. MARIANI CALLE DR. LOPEZ NUSSA
Practice Address - Street 2:#7520 PONCE PR
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0247
Practice Address - Country:US
Practice Address - Phone:787-463-8117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program