Provider Demographics
NPI:1720084874
Name:TORRES VELEZ, RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:TORRES VELEZ
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:X1152 PONTEZUELA AVE
Mailing Address - Street 2:URB VISTAMAR
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-2060
Mailing Address - Country:US
Mailing Address - Phone:787-768-4285
Mailing Address - Fax:787-769-6460
Practice Address - Street 1:X1152 PONTEZUELA AVE
Practice Address - Street 2:URB VISTAMAR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2060
Practice Address - Country:US
Practice Address - Phone:787-768-4285
Practice Address - Fax:787-769-6460
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5370174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77482Medicare UPIN
PR0026998Medicare ID - Type Unspecified