Provider Demographics
NPI:1124089602
Name:TORRES SERRANT, LUIS MOISES (DPM)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:MOISES
Last Name:TORRES SERRANT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:104 CALLE REINA CATALINA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3274
Mailing Address - Country:US
Mailing Address - Phone:787-607-7677
Mailing Address - Fax:
Practice Address - Street 1:1995 CARR. 2 SUITE 1201
Practice Address - Street 2:METRO MEDICAL CENTER
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-1201
Practice Address - Country:US
Practice Address - Phone:787-740-5060
Practice Address - Fax:787-798-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-01
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR043213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
073014OtherCA
660474595OtherMCS CLASSIC
60152OtherMMM
660474595OtherPMC
660474595OtherMAPFRE
660474595OtherCORSI
660474595OtherFIRST PLUS
9600131OtherHUMANA
228033OtherPREFERRED HEALTH
48057OtherSSS
660474595OtherPMC
660474595OtherMAPFRE