MEDICARE: DR. NESTOR LUIS CARMONA-TORRES M.D.

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	207V00000X	Obstetrics & Gynecology Physician	15357	PR

General Provider Information

NPI Number	:	1811921877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESTOR LUIS CARMONA-TORRES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1699
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-1699
Country	:	US
Telephone Number	:	787-349-5201
Fax Number	:	787-785-7931

Provider Business Practice Location Address
First Line	:	1845 CARR 2 STE 304
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-7203
Country	:	US
Telephone Number	:	787-780-4069
Fax Number	:	787-785-7931

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/28/2014

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