Provider Demographics
NPI:1245532738
Name:TORRES MILLAN, DEYANIRA (MD)
Entity type:Individual
Prefix:
First Name:DEYANIRA
Middle Name:
Last Name:TORRES MILLAN
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:SU88 CALLE CIRCULO MAGICO
Mailing Address - Street 2:VALLE HERMOSO ABAJO
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-1219
Mailing Address - Country:US
Mailing Address - Phone:787-363-6849
Mailing Address - Fax:
Practice Address - Street 1:SU88 CIRCULO MAGICO
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1219
Practice Address - Country:US
Practice Address - Phone:787-363-6849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18091146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant