Gustavo Ivan Torres, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

629 Issued in PR

Practice address

Bo Juan Sanchez PR #2 KM 8.5
Bayamon, PR 00960-0248

Phone

(787) 782-8250

NPI assigned

Dec 13, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1033820733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO JUAN SANCHEZ PR #2 KM 8.5",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-782-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO JUAN SANCHEZ PR #2 KM 8.5",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600248",
            "telephone_number": "787-782-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo. Pueblo Desvio Norte PR 159 Km 13.9",
            "address_purpose": "LOCATION",
            "city": "Corozal",
            "state": "PR",
            "postal_code": "007830594",
            "country_code": "US",
            "telephone_number": "787-859-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bo Pueblo Desvio Norte",
            "address_2": "PR 159 Km 13.9",
            "address_purpose": "LOCATION",
            "city": "Corozal",
            "state": "PR",
            "postal_code": "007830594",
            "country_code": "US",
            "telephone_number": "787-859-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "GUSTAVO",
        "middle_name": "IVAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOY",
            "identifier": "8332",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gustavoitorres@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Bo. Pueblo Desvio Norte PR 159 Km 13.9",
            "city": "Corozal",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007830594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Bo. Pueblo Desvio Norte PR 159 Km 13.9",
            "city": "Corozal",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007830594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal L Torres
• Edmariliz Torres, RN
• Eduardo Ivan Torres, M.D.
• Ethel M. Torres, PH. D.
• Francisco Javier Torres
• Janette Torres, R.N.
• Juster Manuel Torres
• Lismarie Torres, OT
• Lourdes Mildred Torres, MT
• Manolin Torres

• Medical Physician Assistant in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.