MEDICARE: DR. ALWIN L. TORRES-ORTIZ 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	009946	PR

General Provider Information

NPI Number	:	1225039431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALWIN L. TORRES-ORTIZ MD

Provider Business Mailing Address
First Line	:	702 CALLE CIPRES
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-5115
Country	:	US
Telephone Number	:	787-764-7714
Fax Number	:	787-764-7714

Provider Business Practice Location Address
First Line	:	702 CALLE CIPRES
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-5115
Country	:	US
Telephone Number	:	787-764-7714
Fax Number	:	787-764-7714

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/14/2010

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