1427134782 NPI number — ALAN TORRES VARGAS MD PSC

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 1427134782 NPI number — ALAN TORRES VARGAS MD PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAN TORRES VARGAS MD PSC
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:
6
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:
1427134782
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 19916
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00910-1916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-729-0808
Provider Business Mailing Address Fax Number:
787-729-1955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LLOVERAS STREET SUITE 205
Provider Second Line Business Practice Location Address:
CENTRO PLAZA 650
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-729-0808
Provider Business Practice Location Address Fax Number:
787-729-1955
Provider Enumeration Date:
10/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TORRES VARGAS
Authorized Official First Name:
ALLAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-729-0808

Provider Taxonomy Codes

  • Taxonomy code: 2088P0231X , with the licence number:  11641 , 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: N920 . This is a "IMC PROVIDER NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".