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NPI Code Detail

MEDICARE: DR. ANTOLIANO TORRES RODRIGUEZ

MEDICARE:  DR. ANTOLIANO  TORRES RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician4849PR

General Provider Information

NPI Number : 1306843511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTOLIANO TORRES RODRIGUEZ
Provider Business Mailing Address
First Line : PLAZA 12 D-4
Second Line : CAMBRIDGE PARK
City : RIO PIEDRAS
State : PR
Zip : 00926
Country : US
Telephone Number : 787-759-8171
Fax Number :
Provider Business Practice Location Address
First Line : 1452 CALLE AMERICO SALAS
Second Line : ESQ. PAVIA
City : SANTURCE
State : PR
Zip : 00909-2157
Country : US
Telephone Number : 787-722-1460
Fax Number : 787-726-5223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ANTOLIANO TORRES RODRIGUEZ ” Practice Location

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