| Organization Name: | DR. RAFAEL TORRES PC |
| NPI Number: | 1275712887 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL TORRES (OWNER/PRESIDENT) |
| Mailing Address: | 6460 28th St Se Grand Rapids |
| State: | MI US |
| Postal Code: | 495466918 |
| Phone Number: | 6169578197 |
| Fax Number: | 6169575095 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301057250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |