MEDICARE: NELLY NAZARIO-TORRES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	15028	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22520NA	OTHER	PR	TRIPLES
2	03539	OTHER	PR	AMERICAN HEALTH
3	100556	OTHER	PR	CRUZ AZUL
4	PG4810	OTHER	PR	PAN AMERICAN LIFE
5	11915028	OTHER	PR	GLOBAL HEALTH
6	7280003	OTHER	PR	HUMANO REFORMA
7	7280003	OTHER	PR	HUMANA HEALTH CHOICE

General Provider Information

NPI Number	:	1073502811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELLY NAZARIO-TORRES MD

Provider Business Mailing Address
First Line	:	CALLE NILO 2427 RIO CANAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1716
Country	:	US
Telephone Number	:	787-432-4402
Fax Number	:	787-432-4402

Provider Business Practice Location Address
First Line	:	CALLE NILO 2427 RIO CANAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1716
Country	:	US
Telephone Number	:	787-432-4402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	07/28/2009

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Directions to “ NELLY NAZARIO-TORRES MD” Practice Location

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