Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 1826 | PR |
Y | 213EG0000X | General Practice | 1826 | PR |
NPI | 1992999635 |
---|---|
Provider Name | Dr. Aileen Marie Torres |
First Address | Trujillo Alto, PR 00976 |
Second Address | Rio Piedras, PR 00935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 31/12/2009 |