1750786042 NPI number — MARLA L. TORRES TORRES C.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750786042 NPI number — MARLA L. TORRES TORRES C.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARLA L. TORRES TORRES C.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1750786042
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2528
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00970-2528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-957-6262
Provider Business Mailing Address Fax Number:
888-373-4866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1452 AVE ASHFORD
Provider Second Line Business Practice Location Address:
COND ADA LIGIA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-1581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-724-9595
Provider Business Practice Location Address Fax Number:
787-724-9696
Provider Enumeration Date:
10/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
MARLA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-724-9595

Provider Taxonomy Codes

  • Taxonomy code: 208C00000X , with the licence number:  17945 , 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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