1437603792 NPI number — DR. JOSUE ALBERTO TORRES-SOTO PH. D.

Table of content: DR. JOSUE ALBERTO TORRES-SOTO PH. D. (NPI 1437603792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437603792 NPI number — DR. JOSUE ALBERTO TORRES-SOTO PH. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRES-SOTO
Provider First Name:
JOSUE
Provider Middle Name:
ALBERTO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH. D.
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:
1437603792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 2 BOX 22319
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00603-9052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-340-5467
Provider Business Mailing Address Fax Number:
787-773-1020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2993 AVE MILITAR
Provider Second Line Business Practice Location Address:
SECTOR LA CURVA
Provider Business Practice Location Address City Name:
ISABELA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-640-7549
Provider Business Practice Location Address Fax Number:
787-773-1020
Provider Enumeration Date:
08/04/2016

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: 103TC0700X , with the licence number:  5735 , 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)