Provider Demographics
NPI:1023737988
Name:TORRES-RODRIGUEZ, ADRIANA IVELISSE (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:IVELISSE
Last Name:TORRES-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 CALLE SIENA
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9235
Mailing Address - Country:US
Mailing Address - Phone:787-601-2827
Mailing Address - Fax:
Practice Address - Street 1:48 CALLE SIENA
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-9235
Practice Address - Country:US
Practice Address - Phone:787-601-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22974208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice