Provider Demographics
NPI:1861896730
Name:DR. GIL K TORRES LUGO CSP
Entity type:Organization
Organization Name:DR. GIL K TORRES LUGO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:TORRES LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-259-7592
Mailing Address - Street 1:P.O. BOX 7486
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732
Mailing Address - Country:US
Mailing Address - Phone:787-259-7592
Mailing Address - Fax:787-259-7592
Practice Address - Street 1:RAMOS ANTONINI 523
Practice Address - Street 2:SUITE 3 EL TUQUE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-259-7592
Practice Address - Fax:787-259-7592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty