Provider Demographics
NPI:1215282843
Name:GRUPO PRIMARIO TORRES-RODRIGUEZ C.S.P.
Entity type:Organization
Organization Name:GRUPO PRIMARIO TORRES-RODRIGUEZ C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-284-3400
Mailing Address - Street 1:PO BOX 800652
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0652
Mailing Address - Country:US
Mailing Address - Phone:787-284-3400
Mailing Address - Fax:787-284-3400
Practice Address - Street 1:KM 10.6 CARR 123
Practice Address - Street 2:BO MAGUEYES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-284-3400
Practice Address - Fax:787-841-4092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty