Healthcare Provider Details

I. General information

NPI: 1396842688
Provider Name (Legal Business Name): OLGA CRISTINA TORRES MENDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URBANIZACION SANTA ELENA CALLE ROBLE M4
GUAYANILLA PR
00656-0102
US

IV. Provider business mailing address

URBANIZACION SANTA ELENA CALLE ROBLE M4
GUAYANILLA PR
00656-0102
US

V. Phone/Fax

Practice location:
  • Phone: 787-674-9237
  • Fax:
Mailing address:
  • Phone: 787-674-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16575
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: