Provider Demographics
NPI:1457714321
Name:RODRIGUEZ-TORRES, HIRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HIRAM
Middle Name:
Last Name:RODRIGUEZ-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 1:706 AVE MIRAMAR APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-4123
Mailing Address - Country:US
Mailing Address - Phone:787-560-6351
Mailing Address - Fax:
Practice Address - Street 1:706 AVE MIRAMAR APT 2
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-4123
Practice Address - Country:US
Practice Address - Phone:787-560-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA181749207R00000X
PR19891207R00000X
NY303505207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine