Healthcare Provider Details

I. General information

NPI: 1962796300
Provider Name (Legal Business Name): VACHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2011
Last Update Date: 06/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA # 111
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

18 CALLE TAGORE PARQUES DE CUPEY #1524
SAN JUAN PR
00926-4521
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax:
Mailing address:
  • Phone: 787-949-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. ANA I. TORRES
Title or Position: PSYCHIATRY RESIDENCY DIRECTOR
Credential: M.D.
Phone: 787-641-7582