Healthcare Provider Details

I. General information

NPI: 1659057222
Provider Name (Legal Business Name): PAOLA MARIE TORRES GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MONTE CLARO PLAZA 20 ME 11
BAYAMON PR
00961
US

IV. Provider business mailing address

PO BOX 70344
SAN JUAN PR
00936-8344
US

V. Phone/Fax

Practice location:
  • Phone: 787-587-5588
  • Fax:
Mailing address:
  • Phone: 787-587-5588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number24507
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: