Provider Demographics
NPI:1255399036
Name:TORRES-SANTO DOMINGO, VICTOR RAFAEL SR (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:RAFAEL
Last Name:TORRES-SANTO DOMINGO
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 557
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-0557
Mailing Address - Country:US
Mailing Address - Phone:787-757-5075
Mailing Address - Fax:787-762-2461
Practice Address - Street 1:#6 JOSE DE DIEGO STREET
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-757-5075
Practice Address - Fax:787-762-2461
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR58032080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology