Basic Information
| Provider Information | |||||||||
| NPI: | 1770716466 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRES-TORRES | ||||||||
| FirstName: | SANET | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | HC 4 BOX 44441 | ||||||||
| Address2: | |||||||||
| City: | SAN SEBASTIAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006857433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7873715453 | ||||||||
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| Practice Location | |||||||||
| Address1: | 258 CALLE SAN JORGE | ||||||||
| Address2: | SANTURCE | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877271000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2009 | ||||||||
| LastUpdateDate: | 12/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0208X | 18365 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Infectious Diseases | 208000000X | 18365 | PR | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 2013018164 | MO | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.