Provider Demographics
NPI:1700557329
Name:TORRES-MARIN, NATALIA LIZ
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:LIZ
Last Name:TORRES-MARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 8289
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 833 KM 12.4
Practice Address - Street 2:URB BALDWIN GATE, 11 AUSUBO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9715
Practice Address - Country:US
Practice Address - Phone:787-557-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022542208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice