Healthcare Provider Details

I. General information

NPI: 1992468672
Provider Name (Legal Business Name): EDGARDO JOSE TORRES GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. MARIANI CALLE DR. LOPEZ NUSSA #7520 PONCE PR
PONCE PR
00717-0247
US

IV. Provider business mailing address

URB. MARIANI CALLE DR. LOPEZ NUSSA #7520 PONCE PR
PONCE PR
00717-0247
US

V. Phone/Fax

Practice location:
  • Phone: 787-463-8117
  • Fax:
Mailing address:
  • Phone: 787-463-8117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number211888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: