Provider Demographics
NPI:1316337256
Name:CENTRO UROLOGICO DR TIMOTEO TORRES LLC
Entity type:Organization
Organization Name:CENTRO UROLOGICO DR TIMOTEO TORRES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-743-8682
Mailing Address - Street 1:PO BOX 9689
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9689
Mailing Address - Country:US
Mailing Address - Phone:787-743-8682
Mailing Address - Fax:787-743-5474
Practice Address - Street 1:CONSOLIDATED MEDICAL PLAZA
Practice Address - Street 2:SUITE 208
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-8682
Practice Address - Fax:787-743-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty