Provider Demographics
NPI:1740092550
Name:TORRES, GLORIA MARIA
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:MARIA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICK
Other - Middle Name:YADIEL
Other - Last Name:CALO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GTORRES TRANSPORT
Mailing Address - Street 1:BARRIO SANTA ROSA CALLE PAVO REAL 3016
Mailing Address - Street 2:
Mailing Address - City:VEGA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:939-302-0320
Mailing Address - Fax:787-883-3488
Practice Address - Street 1:BRENAS CALLE SAN VICENTE
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-0069
Practice Address - Country:US
Practice Address - Phone:939-302-0320
Practice Address - Fax:787-883-3488
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR915017343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)