Most Relevant Information
Provider Data
| NPI Number: | 1003330697 |
| Provider Name: | ALEXIS TORRES RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 19728 |
Most Important Dates
| Enumeration Date: | 07/26/2017 |
| Last Updated: | 06/11/2024 |
Provider Practice Location
5645 MAIN ST
FLUSHING
NY
113555045
Practice Location Phone/Fax
| Phone: | 7186701507 |
| Fax: |
Provider Mailing Location
HC 3 BOX 10612
COMERIO
PR
00782
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |