Basic Information
Provider Information
NPI: 1770658908
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: MILAGROS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: HC-67 BOX 121
Address2:  
City: BAYAMON
State: PR
PostalCode: 009569998
CountryCode: US
TelephoneNumber: 7874778442
FaxNumber: 7878072930
Practice Location
Address1: CARR 2 KM 39.5 BO ALGARROBO
Address2:  
City: VEGA BAJA
State: PR
PostalCode: 006935671
CountryCode: US
TelephoneNumber: 7878072279
FaxNumber: 7878072930
Other Information
ProviderEnumerationDate: 11/22/2006
LastUpdateDate: 09/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X15245PRY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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