Provider Demographics
NPI:1386893352
Name:TORRES RODRIGUEZ, ALEXIS (M,D,)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:TORRES RODRIGUEZ
Suffix:
Gender:M
Credentials:M,D,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX
Mailing Address - Street 2:366217
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:UM
Mailing Address - Phone:787-282-3702
Mailing Address - Fax:787-282-3702
Practice Address - Street 1:AVE. ELEONOR ROOSEVELT
Practice Address - Street 2:122
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:UM
Practice Address - Phone:787-282-3702
Practice Address - Fax:787-282-3702
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR187962084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry