Provider Demographics
NPI:1336603950
Name:TORRES OLIVIERI, ANDRES ALBERTO
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:ALBERTO
Last Name:TORRES OLIVIERI
Suffix:
Gender:M
Credentials:
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 801217
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1217
Mailing Address - Country:US
Mailing Address - Phone:787-929-0931
Mailing Address - Fax:
Practice Address - Street 1:308 CALLE SOFIA
Practice Address - Street 2:MANSION REAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-929-0931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program