Provider Demographics
NPI:1205899853
Name:TORRUELLA, LUIS J (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:J
Last Name:TORRUELLA
Suffix:
Gender:M
Credentials:MD, FACS
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Other - Credentials:
Mailing Address - Street 1:909 AVE TITO CASTRO SUITE 822
Mailing Address - Street 2:TORRE MEDICA SAN LUCAS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4725
Mailing Address - Country:US
Mailing Address - Phone:787-284-0804
Mailing Address - Fax:787-284-0512
Practice Address - Street 1:909 AVE TITO CASTRO SUITE 822
Practice Address - Street 2:TORRE MEDICA SAN LUCAS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4725
Practice Address - Country:US
Practice Address - Phone:787-284-0804
Practice Address - Fax:787-284-0512
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR105362086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84440Medicare ID - Type Unspecified
PRG18892Medicare UPIN