| Doctor Name: | DR. JORGE E FAGES TORRES |
| NPI Number: | 1376858506 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17994 |
| Business Practice Address: | A10 Calle Benitez Urb. Villa Lissette Guaynabo, PR - 009693439 |
| Business Phone Number: | 7876622304 |
| Business Fax Number: | |
| Mailing Address: | Calle Benitez A10, Urb. Villa Lissette GUAYNABO |
| State: | PR |
| Postal Code: | 00969 |
| Phone Number: | 7876622304 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2010 |
| NPI Last Update Date: | 12/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |