Provider Demographics
NPI:1255402871
Name:TORRES TORRES, JUAN A (MD)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:A
Last Name:TORRES TORRES
Suffix:
Gender:M
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 7037
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-7037
Mailing Address - Country:US
Mailing Address - Phone:787-762-8216
Mailing Address - Fax:787-257-3030
Practice Address - Street 1:CAROLINA CT & BREAST CLINIC
Practice Address - Street 2:CAROLINA SHOPPING COURT SUITE 023A
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-257-0677
Practice Address - Fax:787-257-3030
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR40152085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0054877Medicare PIN
PR24135BMedicare ID - Type Unspecified
E04088Medicare UPIN