Healthcare Provider Details

I. General information

NPI: 1295848653
Provider Name (Legal Business Name): NORMAN TORRES ORTIZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CALLE BUENAVENTURA QUINONES
GUANICA PR
00653-2645
US

IV. Provider business mailing address

15 CALLE BUENAVENTURA QUINONES
GUANICA PR
00653-2645
US

V. Phone/Fax

Practice location:
  • Phone: 787-821-4164
  • Fax:
Mailing address:
  • Phone: 787-821-4164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4661
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: