Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 3690 | PR |
NPI | 1023066511 |
---|---|
Provider Name | Dr. Luis Torres Vera |
First Address | San Juan, PR 00918-3237 |
Second Address | San Juan, PR 00918-3237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 28/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D08652 | (02) | PR |