| Doctor Name: | MRS. IVELISSA TORRES |
| NPI Number: | 1275728792 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.T. |
| License Number: | 6263 |
| Business Practice Address: | Street 416 Km 7.0 Bo. Laguna Aguada, PR - 00602 |
| Business Phone Number: | 7878684999 |
| Business Fax Number: | |
| Mailing Address: | Hc 58 Box 14577, AGUADA |
| State: | PR |
| Postal Code: | 006029722 |
| Phone Number: | 7878684999 |
| Fax Number: | 7878684999 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 09/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | 6263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |