MEDICARE: ANGEL M TORRES

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	172A00000X	Driver	TCAMB231	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265692503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL M TORRES

Provider Business Mailing Address
First Line	:	PO BOX 71325
Second Line	:	SUITE 137
City	:	SAN JUAN
State	:	PR
Zip	:	00936-8425
Country	:	US
Telephone Number	:	787-531-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	743 CALLE ACUARIO
Second Line	:	VENUS GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4901
Country	:	US
Telephone Number	:	787-531-4839
Fax Number	:

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

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	06/10/2008

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Directions to “ ANGEL M TORRES ” Practice Location

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