Provider Demographics
NPI:1700243672
Name:DR. VICTOR FRATICELLI TORRES C.S.P.
Entity type:Organization
Organization Name:DR. VICTOR FRATICELLI TORRES C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:FRATICELLI-TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-841-6562
Mailing Address - Street 1:PO BOX 7236
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7236
Mailing Address - Country:US
Mailing Address - Phone:787-841-6562
Mailing Address - Fax:787-844-5295
Practice Address - Street 1:9140 CALLE MARINA STE 101
Practice Address - Street 2:EDIFICIO PONCIANA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2031
Practice Address - Country:US
Practice Address - Phone:787-841-6562
Practice Address - Fax:787-844-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-24
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty