Provider Demographics
NPI:1538175773
Name:TORRES ORTIZ, ANGEL R
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:R
Last Name:TORRES ORTIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO CONDADO PRINCESS #1002
Mailing Address - Street 2:CALLE WASHINGTON #2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-645-0955
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2
Practice Address - Street 2:HOSPITAL SAN PABLO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00799
Practice Address - Country:US
Practice Address - Phone:787-649-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4996174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist