Healthcare Provider Details

I. General information

NPI: 1427134782
Provider Name (Legal Business Name): ALAN TORRES VARGAS MD PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LLOVERAS STREET SUITE 205 CENTRO PLAZA 650
SAN JUAN PR
00910
US

IV. Provider business mailing address

PO BOX 19916
SAN JUAN PR
00910-1916
US

V. Phone/Fax

Practice location:
  • Phone: 787-729-0808
  • Fax: 787-729-1955
Mailing address:
  • Phone: 787-729-0808
  • Fax: 787-729-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number11641
License Number StatePR

VIII. Authorized Official

Name: DR. ALLAN TORRES VARGAS
Title or Position: PRESIDENT
Credential: MD
Phone: 787-729-0808