Provider Demographics
NPI:1063624781
Name:TORRES, JULIO DANIEL
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:DANIEL
Last Name:TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STREET RUBI , URB. QUINTAS DE CANOVANAS II
Mailing Address - Street 2:809
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-646-5196
Mailing Address - Fax:
Practice Address - Street 1:STREET RUBI , URB. QUINTAS DE CANOVANAS II
Practice Address - Street 2:809
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-646-5196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2880247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist