Provider Demographics
NPI:1740213651
Name:TORRES RENTAS, KELVIN
Entity type:Individual
Prefix:
First Name:KELVIN
Middle Name:
Last Name:TORRES RENTAS
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:HC 7 BOX 32045
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9202
Mailing Address - Country:US
Mailing Address - Phone:787-837-3747
Mailing Address - Fax:
Practice Address - Street 1:BO GUAYABAL
Practice Address - Street 2:CARR 552 KM 3
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-837-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR53512Medicare ID - Type Unspecified