1679535595 NPI number — ROUSELINE VALENTIN TORRES M.D.

Table of content: ROUSELINE VALENTIN TORRES M.D. (NPI 1679535595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679535595 NPI number — ROUSELINE VALENTIN TORRES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALENTIN TORRES
Provider First Name:
ROUSELINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1679535595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1908 CALLE MACKENZIE
Provider Second Line Business Mailing Address:
URB. RIO CANAS
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00728-1827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-259-1319
Provider Business Mailing Address Fax Number:
787-290-4043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1903 DR.PILA ST.
Provider Second Line Business Practice Location Address:
SECTOR EL TUQUE
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00728-4823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-259-1319
Provider Business Practice Location Address Fax Number:
787-290-4043
Provider Enumeration Date:
04/05/2006

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: 207R00000X , with the licence number:  9528 , 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)





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