Healthcare Provider Details

I. General information

NPI: 1457552986
Provider Name (Legal Business Name): MAGDA E. TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 AVE FERNANDEZ JUNCOS
SAN JUAN PR
00909-2521
US

IV. Provider business mailing address

1306 AVE FERNANDEZ JUNCOS
SAN JUAN PR
00909-2521
US

V. Phone/Fax

Practice location:
  • Phone: 787-723-2424
  • Fax: 787-724-5104
Mailing address:
  • Phone: 787-723-2424
  • Fax: 787-724-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8367
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: