Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 043 | PR |
NPI | 1124089602 |
---|---|
Provider Name | Dr. Luis Moises Torres Serrant |
First Address | Guaynabo, PR 00969-3274 |
Second Address | Bayamon, PR 00959-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2006 |
Last Update Date | 27/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073014 | CA (01) | |
228033 | PREFERRED HEALTH (01) | |
48057 | SSS (01) | |
60152 | MMM (01) | |
660474595 | CORSI (01) | |
660474595 | FIRST PLUS (01) | |
660474595 | MAPFRE (01) | |
660474595 | MCS CLASSIC (01) | |
660474595 | PMC (01) | |
9600131 | HUMANA (01) | |
U12314 | (02) |