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General NPI Number Information
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NPI Number | 1316337256
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Entity Type | Organization
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Legal Business Name | CENTRO UROLOGICO DR TIMOTEO TORRES LLC
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | CONSOLIDATED MEDICAL PLAZA SUITE 208
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-743-8682
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Fax | 787-743-5474
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Provider Business Mailing Address
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Address Line | PO BOX 9689
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City | CAGUAS
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State | PR
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Zip | 00726-9689
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Country | US
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Telephone | 787-743-8682
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Fax | 787-743-5474
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | MS. CAROLA E. TORRES
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Credential |
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Telephone | 787-743-8682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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