Healthcare Provider Details

I. General information

NPI: 1598753022
Provider Name (Legal Business Name): CAROLYN B TORRES BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. MUNOZ MARIN 62
HUMACAO PR
00791
US

IV. Provider business mailing address

N1 CALLE 15 STA. JUANA
CAGUAS PR
00725-2042
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-8078
  • Fax: 787-285-8078
Mailing address:
  • Phone: 787-744-9223
  • Fax: 787-285-8078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number28871
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: