Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 7723 | PR |
NPI | 1629213004 |
---|---|
Provider Name | Dr. Jose Guillermo Torres |
First Address | San Juan, PR 00908-6196 |
Second Address | Santurce, PR 00909-1821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2008 |
Last Update Date | 12/12/2008 |