Healthcare Provider Details

I. General information

NPI: 1164436457
Provider Name (Legal Business Name): ANGEL M. TORRES GONZALEZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 CALLE MARGINAL LA ALMEDA
SAN JUAN PR
00926-5822
US

IV. Provider business mailing address

PO BOX 71325 SUITE 137
SAN JUAN PR
00936-8425
US

V. Phone/Fax

Practice location:
  • Phone: 787-531-4321
  • Fax: 787-736-1796
Mailing address:
  • Phone: 787-531-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB231
License Number StatePR

VIII. Authorized Official

Name: MR. ANGEL M TORRES
Title or Position: PRESIDENTE
Credential:
Phone: 787-531-4321