1740261577 NPI number — DR. NORMA R GUERRA TORRES MD

Table of content: DR. NORMA R GUERRA TORRES MD (NPI 1740261577)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740261577 NPI number — DR. NORMA R GUERRA TORRES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUERRA TORRES
Provider First Name:
NORMA
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1740261577
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
07/22/2009

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1179
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SABANA GRANDE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00637
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-804-0399
Provider Business Mailing Address Fax Number:
787-873-5555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE ANGEL MARTINEZ ESQ. SAN ISIDRO 25B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SABANA GRANDE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00637-1179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-804-0399
Provider Business Practice Location Address Fax Number:
787-873-5555
Provider Enumeration Date:
11/09/2005

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: 208000000X , with the licence number:  13448 , 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: 22175 . This is a "SSS PROVIDER NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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