Provider Demographics
NPI:1639965056
Name:TORRES, JEAN GABRIEL (DC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:GABRIEL
Last Name:TORRES
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE HOCONUCO #56 RIVER PLANTATION
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-4314
Mailing Address - Country:US
Mailing Address - Phone:787-342-0403
Mailing Address - Fax:
Practice Address - Street 1:SUITE 207 OFFICE BUILDING LOS COLOBOS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-750-7171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor