Healthcare Provider Details

I. General information

NPI: 1962409300
Provider Name (Legal Business Name): SHEILA M TORRES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 12/16/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. INDUSTRIAL REPARADA 2 936 DR. LUIS SALA
PONCE PR
00716
US

IV. Provider business mailing address

PO BOX 7704
PONCE PR
00732-7704
US

V. Phone/Fax

Practice location:
  • Phone: 787-812-2525
  • Fax:
Mailing address:
  • Phone: 787-812-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number80172
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number8787
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: