Healthcare Provider Details

I. General information

NPI: 1073119483
Provider Name (Legal Business Name): GRUPO MEDICO DR ALBERTO H TORRES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/10/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO RIO ABAJO KM 62.0 CARR 10
UTUADO PR
00641
US

IV. Provider business mailing address

HC 2 BOX 8015
UTUADO PR
00641-9517
US

V. Phone/Fax

Practice location:
  • Phone: 787-894-2593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERTO H TORRES
Title or Position: FIRST OFFICIAL
Credential: MD
Phone: 787-363-5146