Healthcare Provider Details

I. General information

NPI: 1427738335
Provider Name (Legal Business Name): DR. KRISTINA DEL PILAR TORRES VAZQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 191811
SAN JUAN PR
00919-1811
US

IV. Provider business mailing address

PO BOX 55393
BAYAMON PR
00960-3393
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-4149
  • Fax:
Mailing address:
  • Phone: 787-375-7421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16791
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: