Healthcare Provider Details

I. General information

NPI: 1114925344
Provider Name (Legal Business Name): FRANCIS J TORRES-AGUIAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JARDINES FAGOT #T-1 CALLE 15
PONCE PR
00731
US

IV. Provider business mailing address

PO BOX 336419
PONCE PR
00733-6419
US

V. Phone/Fax

Practice location:
  • Phone: 787-259-3623
  • Fax: 787-259-3623
Mailing address:
  • Phone: 787-259-3623
  • Fax: 787-259-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6577
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: