Healthcare Provider Details

I. General information

NPI: 1033034673
Provider Name (Legal Business Name): DR. NELSON ANTONIO TORRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CALLE JAVILLA
SAN GERMAN PR
00683-4102
US

IV. Provider business mailing address

1100 CALLE MAGNOLIA BUENAVENTURA
MAYAGUEZ PR
00682-1258
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-1860
  • Fax:
Mailing address:
  • Phone:
  • Fax: 787-458-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number025117
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: