MEDICARE: DAMARIS RODRIGUEZ TORRES MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program	17373-I	PR

General Provider Information

NPI Number	:	1780546655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMARIS RODRIGUEZ TORRES MD

Provider Business Mailing Address
First Line	:	6701 CARR 345
Second Line	:
City	:	HORMIGUEROS
State	:	PR
Zip	:	00660-8600
Country	:	US
Telephone Number	:	440-503-6075
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 CALLE JAVILLA
Second Line	:
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4102
Country	:	US
Telephone Number	:	440-503-6075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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