Healthcare Provider Details

I. General information

NPI: 1336234988
Provider Name (Legal Business Name): MARIBEL TORRES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188LOS ALTOS DE CIUDAD JARDIN
GURABO PR
00778
US

IV. Provider business mailing address

188 LOS ALTOS DE CIUDAD JARDIN
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-487-1735
  • Fax: 787-999-7111
Mailing address:
  • Phone: 787-487-1735
  • Fax: 787-999-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number13333
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: