Provider Demographics
NPI:1740298793
Name:TORRES-MIRANDA, ORLANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:
Last Name:TORRES-MIRANDA
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:PO BOX 2290
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-4290
Mailing Address - Country:US
Mailing Address - Phone:787-825-4558
Mailing Address - Fax:787-825-6422
Practice Address - Street 1:20 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2411
Practice Address - Country:US
Practice Address - Phone:787-825-4558
Practice Address - Fax:787-825-6422
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10535174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8-3695Medicare ID - Type Unspecified
PRF38811Medicare UPIN