Provider Demographics
NPI:1265440325
Name:TORRES SANCHEZ, JORGE L (MD)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:L
Last Name:TORRES SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:L
Other - Last Name:TORRES SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:74 CALLE ESTEBAN PADILLA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6705
Mailing Address - Country:US
Mailing Address - Phone:787-870-2178
Mailing Address - Fax:787-870-1272
Practice Address - Street 1:74 CALLE ESTEBAN PADILLA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6705
Practice Address - Country:US
Practice Address - Phone:787-870-2178
Practice Address - Fax:787-870-1272
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10516208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3110516OtherUIA
PR9600020OtherHUMANA
PR0020OtherINTERNATIONAL MEDICAL CAR
PR500158EOtherMEDICARE MUCHO MAS
PR3110516OtherUIA
PR0082682Medicare ID - Type UnspecifiedMEDICARE