MEDICARE: MRS. CARMEN M. TORRES M.D.

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	1041C0700X	Clinical Social Worker	2512	PR

General Provider Information

NPI Number	:	1164642054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARMEN M. TORRES M.D.

Provider Business Mailing Address
First Line	:	URB. VILLA CAROLINA 195-38 CALLE 530
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00985-3108
Country	:	US
Telephone Number	:	787-766-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	RR-6
Second Line	:	BOX 9455
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5636
Country	:	US
Telephone Number	:	787-766-4646
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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