Healthcare Provider Details

I. General information

NPI: 1679755797
Provider Name (Legal Business Name): JORGE ADRIAN TORRES RN BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. MACHUELO CARRETERA # 14 HOSPITAL PSYQUIATORIA FORENSE PONCE
PONCE PR
00732
US

IV. Provider business mailing address

URB. LAS ALONDRAS CALLE 1 A31
VILLALBA PR
00766
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-0101
  • Fax: 787-842-7111
Mailing address:
  • Phone: 787-844-0101
  • Fax: 787-842-7111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number17993
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: