Healthcare Provider Details

I. General information

NPI: 1093788911
Provider Name (Legal Business Name): PEDRO MANUEL TORRES-MORALES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SECTOR BATEY COLUMBIA CARRETERA 759
MAUNABO PR
00707
US

IV. Provider business mailing address

9 CALLE CESAR ORTIZ
MAUNABO PR
00707-2143
US

V. Phone/Fax

Practice location:
  • Phone: 787-861-0387
  • Fax: 787-861-1789
Mailing address:
  • Phone: 787-861-0387
  • Fax: 787-861-1789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number9322
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4301086847
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: