Healthcare Provider Details

I. General information

NPI: 1487724415
Provider Name (Legal Business Name): FRANCISCO R DE TORRES SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 CALLE DR PAVIA FERNANDEZ SUITE 212
SANTURCE PR
00909-2239
US

IV. Provider business mailing address

611 CALLE DR PAVIA FERNANDEZ SUITE 112
SAN JUAN PR
00909-2239
US

V. Phone/Fax

Practice location:
  • Phone: 787-728-9849
  • Fax: 787-268-5366
Mailing address:
  • Phone: 787-728-9849
  • Fax: 787-268-5366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number9296
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: