Healthcare Provider Details

I. General information

NPI: 1699133652
Provider Name (Legal Business Name): HECTOR DANIEL TORRES DE JESUS RN,BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB EL CONQUISTADOR N7 AVE DIEGO VELAZQUEZ
TRUJILLO ALTO PUERTO RICO
00976
UM

IV. Provider business mailing address

N7 AVE DIEGO VELAZQUEZ URB EL CONQUITADOR
TRUJILLO ALTO PR
00976
US

V. Phone/Fax

Practice location:
  • Phone: 787-202-2549
  • Fax:
Mailing address:
  • Phone: 787-202-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number74992-G
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: