Provider Demographics
NPI:1134209042
Name:TORRES, CRUZ JR (RN)
Entity type:Individual
Prefix:MR
First Name:CRUZ
Middle Name:
Last Name:TORRES
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LA PROVIDENCIA
Mailing Address - Street 2:2423 SHEQUEL ST
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-3142
Mailing Address - Country:US
Mailing Address - Phone:787-842-9758
Mailing Address - Fax:787-824-2022
Practice Address - Street 1:LA PROVIDENCIA
Practice Address - Street 2:2423 SHEQUEL ST
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-3142
Practice Address - Country:US
Practice Address - Phone:787-842-9758
Practice Address - Fax:787-824-2022
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR834163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management