Provider Demographics
NPI:1063413227
Name:TORRES, ARMANDO X (MT)
Entity type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:X
Last Name:TORRES
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0441
Mailing Address - Country:US
Mailing Address - Phone:787-856-4005
Mailing Address - Fax:787-856-4005
Practice Address - Street 1:52 CALLE MATTEI LLUBERAS
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3666
Practice Address - Country:US
Practice Address - Phone:787-856-4005
Practice Address - Fax:787-856-4005
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3219246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3-0761OtherMEDICARE PROVIDER NUMBER