Provider Demographics
NPI:1811921877
Name:CARMONA-TORRES, NESTOR LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:LUIS
Last Name:CARMONA-TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1699
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1699
Mailing Address - Country:US
Mailing Address - Phone:787-349-5201
Mailing Address - Fax:787-785-7931
Practice Address - Street 1:1845 CARR 2 STE 304
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7203
Practice Address - Country:US
Practice Address - Phone:787-780-4069
Practice Address - Fax:787-785-7931
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15357207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-62643Medicare UPIN