Healthcare Provider Details

I. General information

NPI: 1760591986
Provider Name (Legal Business Name): DINORAH TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ARTERIAL HASTOS 1-A SOTANO CAPITAL CENTER TORRE 1
SAN JUAN PR
00918
US

IV. Provider business mailing address

PO BOX 362842
SAN JUAN PR
00936-2842
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-1312
  • Fax: 787-751-5158
Mailing address:
  • Phone: 787-751-1312
  • Fax: 787-751-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number4944
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: