Healthcare Provider Details

I. General information

NPI: 1245208891
Provider Name (Legal Business Name): LEONARDO TORRES-RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE I #49 HNAS DAVILA
BAYAMON PR
00960
US

IV. Provider business mailing address

PO BOX 926
BAYAMON PR
00960
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-6766
  • Fax: 787-785-6680
Mailing address:
  • Phone: 787-785-6766
  • Fax: 787-785-6680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number3396
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: