Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 15874 | PR |
NPI | 1104890789 |
---|---|
Provider Name | Dr. Artemio Torres-Martinez |
First Address | Guaynabo, PR 00966-1770 |
Second Address | Guaynabo, PR 00966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I 36690 | (02) | FL |