Healthcare Provider Details

I. General information

NPI: 1811270663
Provider Name (Legal Business Name): JOSE L TORRES-SILVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 08/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SANTA RITA III CALLE SANTA MARIA 1430
COTO LAUREL PR
00780
US

IV. Provider business mailing address

PO BOX 800674
COTO LAUREL PR
00780
US

V. Phone/Fax

Practice location:
  • Phone: 787-307-8183
  • Fax:
Mailing address:
  • Phone: 787-307-8183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number18747
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: