Provider Demographics
NPI:1982279287
Name:VICTOR FRATICELLI TORRES MD LLC
Entity Type:Organization
Organization Name:VICTOR FRATICELLI TORRES MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASISTENTE
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-381-0573
Mailing Address - Street 1:PO BOX 7236
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7236
Mailing Address - Country:US
Mailing Address - Phone:787-841-6562
Mailing Address - Fax:
Practice Address - Street 1:URB PERLA DEL SUR PASEO PERLA DEL SUR
Practice Address - Street 2:2435
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-841-6562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty