Provider Demographics
NPI:1063717130
Name:TORRES NAVARRO, VANESSA (MD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:TORRES NAVARRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 15449
Mailing Address - Street 2:BO CACAO CENTRO
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:178-760-5423
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 15449
Practice Address - Street 2:BO CACAO CENTRO
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-9744
Practice Address - Country:US
Practice Address - Phone:178-760-5423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12765I207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine