Healthcare Provider Details

I. General information

NPI: 1124935952
Provider Name (Legal Business Name): GREGORIO TORRES SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MUNOZ RIVERA SUITE 5
SANTA ISABEL PR
00757-2658
US

IV. Provider business mailing address

MANSION DEL SUR 64 CEIBA STREET
COTO LAUREL PR
00780-2086
US

V. Phone/Fax

Practice location:
  • Phone: 787-301-1731
  • Fax: 787-301-1733
Mailing address:
  • Phone: 787-212-0119
  • Fax: 787-837-8041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number537
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: