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NPI 1679755797

NPI 1679755797 : JORGE ADRIAN TORRES RN BSN : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1679755797
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    Entity Type          |    Individual 
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    Provider Name        |    JORGE ADRIAN TORRES RN BSN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2007
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    Last Update Date     |    11/30/2007
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Provider Practice Location Address
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    Address Line         |    BO. MACHUELO CARRETERA # 14 HOSPITAL PSYQUIATORIA FORENSE PONCE
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00732
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    Country              |    US
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    Telephone            |    787-844-0101
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    Fax                  |    787-842-7111
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Provider Business Mailing Address
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    Address Line         |    URB. LAS ALONDRAS CALLE 1 A31 
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    City                 |    VILLALBA
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    State                |    PR
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    Zip                  |    00766
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    Country              |    US
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    Telephone            |    787-844-0101
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    Fax                  |    787-842-7111
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    17993
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    License Number State |    PR
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