Provider Demographics
NPI:1699133652
Name:TORRES DE JESUS, HECTOR DANIEL (RN,BSN)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:DANIEL
Last Name:TORRES DE JESUS
Suffix:
Gender:M
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7 AVE DIEGO VELAZQUEZ
Mailing Address - Street 2:URB EL CONQUITADOR
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-202-2549
Mailing Address - Fax:
Practice Address - Street 1:URB EL CONQUISTADOR N7 AVE DIEGO VELAZQUEZ
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00976
Practice Address - Country:UM
Practice Address - Phone:787-202-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR74992-G261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center