Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 5803 | PR |
NPI | 1255399036 |
---|---|
Provider Name | Dr. Victor Rafael Torres-Santo Domingo SR. |
First Address | Carolina, PR 00986-0557 |
Second Address | Carolina, PR 00985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 24/03/2009 |