Doctor Name: | DR. KELLY SUE GILROY TORRES |
NPI Number: | 1841262078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14483 |
Business Practice Address: | Ave Munoz Rivera 168 Camuy, PUERTO RICO - 00627 |
Business Phone Number: | 7878207722 |
Business Fax Number: | 7878207722 |
Mailing Address: | 117 Bo Bajuras, ISABELA |
State: | PR |
Postal Code: | 00662 |
Phone Number: | 7878207722 |
Fax Number: | 7878207722 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |