Provider Demographics
NPI:1750422671
Name:GUERRA TORRES, ANGEL R (MD)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:R
Last Name:GUERRA TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ANGEL
Other - Middle Name:R
Other - Last Name:GUERRA TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7128
Mailing Address - Street 2:MIGRANT HEALTH CENTER, INC
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:CALLE RAMON EMETERIO BETANCES 392 SUR
Practice Address - Street 2:MIGRANT HEALTH CENTER, INC
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-805-2920
Practice Address - Fax:787-834-1924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR140252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20754Medicare ID - Type UnspecifiedMEDICARE
PRH57062Medicare UPIN