MEDICARE: DR. HECTOR R TORRES-CABRERA 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	174400000X	Specialist	5537	PR

General Provider Information

NPI Number	:	1619955622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HECTOR R TORRES-CABRERA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 330669
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00733-0669
Country	:	US
Telephone Number	:	787-840-5577
Fax Number	:	787-840-5577

Provider Business Practice Location Address
First Line	:	EDIFICIO PORRATA PILA2431LAS AMERICAS AVENUE
Second Line	:	SUITE210
City	:	PONCE
State	:	PR
Zip	:	00717-2116
Country	:	US
Telephone Number	:	787-840-5577
Fax Number	:	787-840-5577

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	09/21/2012

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