Healthcare Provider Details

I. General information

NPI: 1811880131
Provider Name (Legal Business Name): MOANES MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 CARR 2 BAYAMON MEDICAL PLAZA SUITE 805
BAYAMON PR
00959
US

IV. Provider business mailing address

104 CALLE REINA CATALINA
GUAYNABO PR
00969-3274
US

V. Phone/Fax

Practice location:
  • Phone: 787-740-5060
  • Fax:
Mailing address:
  • Phone: 787-607-7677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS M TORRES
Title or Position: PRESIDENTE
Credential: DPM
Phone: 787-607-7677