Individual provider Active NPI

Ibel Soraya Torres, MD.

  • Pediatrics Physician
  • San Lorenzo, PR
National Provider Identifier
1275576803
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10241 Issued in PR
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
84451OtherPRSSS PROVIDER NUMBER
061533OtherPRLA CRUZ AZUL DE PR
7780004OtherPRHUMANA 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

LicenseStateTypeSpecialty
10241PRMDPediatrics 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.

Verify at the official NPI Registry.