Active NPI
Ibel Soraya Torres, MD.
- Pediatrics Physician
- San Lorenzo, PR
National Provider Identifier
1275576803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10241
- Practice address
- Carretera 183 KM 10.3 Edif Diaz Bretana Local 102
Grupo Salud Integral San Lorenzo
San Lorenzo, PR 00754-0993 - Phone
- (787) 736-1515
- Fax
- (787) 737-8142
- NPI assigned
- Jun 13, 2006
- Last updated
- Oct 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10241 | PR | Primary |
Addresses
Primary practice location
Carretera 183 KM 10.3 Edif Diaz Bretana Local 102
Grupo Salud Integral San Lorenzo
San Lorenzo, PR 00754-0993
Mailing address
PO Box 1311
Gurabo, PR 00778-1311
Phone (787) 398-9065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84451 | Other | PR | SSS PROVIDER NUMBER |
| 061533 | Other | PR | LA CRUZ AZUL DE PR |
| 7780004 | Other | PR | HUMANA PROV NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10241 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1275576803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1311",
"city": "GURABO",
"state": "PR",
"postal_code": "007781311",
"telephone_number": "787-398-9065",
"fax_number": "787-737-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 183 KM 10.3 EDIF DIAZ BRETANA LOCAL 102",
"address_2": "GRUPO SALUD INTEGRAL SAN LORENZO",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007540993",
"telephone_number": "787-736-1515",
"fax_number": "787-737-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "IBEL",
"middle_name": "SORAYA",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "10241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS PROVIDER NUMBER",
"identifier": "84451",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PR",
"identifier": "061533",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROV NUMBER",
"identifier": "7780004",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.