Provider Demographics
NPI:1023066511
Name:TORRES VERA, LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:
Last Name:TORRES VERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 AVE HOSTOS
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3237
Mailing Address - Country:US
Mailing Address - Phone:787-764-3024
Mailing Address - Fax:787-274-1407
Practice Address - Street 1:508 AVE HOSTOS
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3237
Practice Address - Country:US
Practice Address - Phone:787-764-3024
Practice Address - Fax:787-274-1407
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3690207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR94765Medicare ID - Type Unspecified
PRD08652Medicare UPIN