Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 17766 | PR |
NPI | 1013241496 |
---|---|
Provider Name | Dr. Juan M Torres Hurtado |
First Address | Caguas, PR 00727-6066 |
Second Address | Caguas, PR 00727-6066 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 01/10/2009 |