Most Relevant Information
Provider Data
| NPI Number: | 1003264169 |
| Provider Name: | LIS TORRES |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: | 822 |
Most Important Dates
| Enumeration Date: | 05/31/2016 |
| Last Updated: | 05/31/2016 |
Provider Practice Location
2421 PERLA DEL SUR
PONCE
PR
00730
Practice Location Phone/Fax
| Phone: | 7878440346 |
| Fax: |
Provider Mailing Location
2421 PERLA DEL SUR
PONCE
PR
00730
Provider Mailing Phone/Fax
| Phone: | 7878440346 |
| Fax: |