1003807298 NPI number — EDUARDO L AMY TORRES MD

Table of content: EDUARDO L AMY TORRES MD (NPI 1003807298)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003807298 NPI number — EDUARDO L AMY TORRES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMY TORRES
Provider First Name:
EDUARDO
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003807298
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7402
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00732-7402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-844-8110
Provider Business Mailing Address Fax Number:
787-842-7953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
COND TORRE DE ORO 2175 AVE. LAS AMERICAS
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717-0791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-8110
Provider Business Practice Location Address Fax Number:
787-842-7953
Provider Enumeration Date:
11/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  6188 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 27669 . This is a "SSS" identifier . This identifiers is of the category "OTHER".




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