Provider Demographics
NPI:1538598230
Name:JULIO A. TORRES IZQUIERDO
Entity type:Organization
Organization Name:JULIO A. TORRES IZQUIERDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRADUATED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:TORRES IZQUIERDO
Authorized Official - Suffix:
Authorized Official - Credentials:NS
Authorized Official - Phone:787-464-1447
Mailing Address - Street 1:3189 SINFONIA ST.
Mailing Address - Street 2:BO. BEJUCO
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-546-0439
Mailing Address - Fax:
Practice Address - Street 1:3189 ST. SAN FARIA
Practice Address - Street 2:BO. BEJUCO
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-464-1447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR05331314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility