Provider Demographics
NPI:1427711597
Name:TORRES, LIZBETH NICOLE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:LIZBETH
Middle Name:NICOLE
Last Name:TORRES
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BO SANTA ANA III 173 CALLE 11
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-3627
Mailing Address - Country:US
Mailing Address - Phone:939-218-8754
Mailing Address - Fax:
Practice Address - Street 1:200 GRAND BLVD LOS PRADOS STE 785
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-9533
Practice Address - Country:US
Practice Address - Phone:787-744-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36672163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice