Provider Demographics
NPI:1932827680
Name:DR PORFIRIO DIAZ TORRES LLC
Entity Type:Organization
Organization Name:DR PORFIRIO DIAZ TORRES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PORFIRIO
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIAZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-632-7133
Mailing Address - Street 1:1021 CALLE GEN DEL VALLE
Mailing Address - Street 2:URB GONZALEZ SEIJO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3726
Mailing Address - Country:US
Mailing Address - Phone:787-632-7133
Mailing Address - Fax:787-754-5726
Practice Address - Street 1:1021 CALLE GEN DEL VALLE
Practice Address - Street 2:URB. GONZALEZ SEIJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3726
Practice Address - Country:US
Practice Address - Phone:787-632-7133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty