Healthcare Provider Details

I. General information

NPI: 1669150819
Provider Name (Legal Business Name): ALEJANDRO TORRES TORRES AU.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON STE 214
SAN JUAN PR
00917-5024
US

IV. Provider business mailing address

LOS MAESTROS 789 GONZALO PHILIPPI
SAN JUAN PR
00923
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-1900
  • Fax:
Mailing address:
  • Phone: 787-218-9719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1034
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: