Healthcare Provider Details

I. General information

NPI: 1942122213
Provider Name (Legal Business Name): KAYLENE MIRELYS DE JESUS TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 140182
ARECIBO PR
00614-0182
US

IV. Provider business mailing address

PO BOX 140182
ARECIBO PR
00614-0182
US

V. Phone/Fax

Practice location:
  • Phone: 787-399-9567
  • Fax:
Mailing address:
  • Phone: 787-432-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25144
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: