Provider Demographics
NPI:1134196736
Name:GARCIA-TORRES, WANDA R (MD)
Entity type:Individual
Prefix:DR
First Name:WANDA
Middle Name:R
Last Name:GARCIA-TORRES
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:PO BOX 1589
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-5501
Mailing Address - Country:US
Mailing Address - Phone:787-837-4119
Mailing Address - Fax:787-837-2595
Practice Address - Street 1:51 CALLE DEGETAU
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1636
Practice Address - Country:US
Practice Address - Phone:787-837-4119
Practice Address - Fax:787-837-2595
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7389174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist