Provider Demographics
NPI:1548270705
Name:TORRES, ROSIMAR (MD, FACOG)
Entity type:Individual
Prefix:MRS
First Name:ROSIMAR
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FD ROOSEVELT AVE.
Mailing Address - Street 2:TORRE DE PLAZA LAS AMERICA PH-OFICINE 1210
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-751-3326
Mailing Address - Fax:787-758-7562
Practice Address - Street 1:3311 OLD CONEJO RD
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-2115
Practice Address - Country:US
Practice Address - Phone:805-480-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14297207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21649Medicare ID - Type Unspecified
PRH91918Medicare UPIN