MEDICARE: DR. JUSTER MANUEL 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	208000000X	Pediatrics Physician	10138	PR

General Provider Information

NPI Number	:	1710948625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTER MANUEL TORRES

Provider Business Mailing Address
First Line	:	AL21 CALLE 30
Second Line	:	SANTA JUANITA
City	:	BAYAMON
State	:	PR
Zip	:	00956-4706
Country	:	US
Telephone Number	:	787-786-1300
Fax Number	:	787-786-1300

Provider Business Practice Location Address
First Line	:	AL21 CALLE 30
Second Line	:	SANTA JUANITA
City	:	BAYAMON
State	:	PR
Zip	:	00956-4706
Country	:	US
Telephone Number	:	787-786-1300
Fax Number	:	787-786-1300

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/08/2007

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