Doctor Name: | DR. JUAN CARLOS TORRES VELAZQUEZ |
NPI Number: | 1366482036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14547 |
Business Practice Address: | Torre San Cristobal Suite #301 Coto Laurel, PR - 00780 |
Business Phone Number: | 7872597219 |
Business Fax Number: | 7878489772 |
Mailing Address: | Brisas Del Prado, 2025 Guaraguao St. SANTA ISABEL |
State: | PR |
Postal Code: | 007572175 |
Phone Number: | 7876174636 |
Fax Number: | 7878452094 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |