Provider Demographics
NPI:1174949473
Name:ROSIMAR TORRES LEON MD PSC
Entity type:Organization
Organization Name:ROSIMAR TORRES LEON MD PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTORA
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSIMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-751-3326
Mailing Address - Street 1:525 AVE FD ROOSEVELT
Mailing Address - Street 2:TORRE DE PLAZA LAS AMERICAS PH 1210
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-8001
Mailing Address - Country:US
Mailing Address - Phone:787-751-3326
Mailing Address - Fax:787-758-7562
Practice Address - Street 1:525 AVE FD ROOSEVELT
Practice Address - Street 2:TORRE DE PLAZA LAS AMERICAS PH 1210
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8001
Practice Address - Country:US
Practice Address - Phone:787-751-3326
Practice Address - Fax:787-758-7562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14297207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH91918Medicare UPIN