Individual provider Active NPI

Norma R Guerra Torres, MD

  • Pediatrics Physician
  • Sabana Grande, PR
National Provider Identifier
1740261577
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13448 Issued in PR
Practice address
Calle Angel Martinez Esq. San Isidro 25B
Sabana Grande, PR 00637-1179
Phone
(787) 804-0399
Fax
(787) 873-5555
NPI assigned
Nov 9, 2005
Reactivated
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 13448 PR Primary

Addresses

Primary practice location

Calle Angel Martinez Esq. San Isidro 25B
Sabana Grande, PR 00637-1179

Mailing address

PO Box 1179
Sabana Grande, PR 00637
Phone (787) 804-0399

Other identifiers 1

IdentifierTypeStateIssuer
22175OtherPRSSS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000557 PR Practitioner - Pediatric Medicine 2466603105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13448PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc CurrentSince Sep 24, 2012 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 24, 2012 Accepting new patients
MMC Med Group LLC Past Accepting new patients
Jcy Internal Medicine PSC PastSince Sep 6, 2020 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1740261577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-804-0399",
            "fax_number": "787-873-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANGEL MARTINEZ ESQ. SAN ISIDRO 25B",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371179",
            "telephone_number": "787-804-0399",
            "fax_number": "787-873-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA TORRES",
        "first_name": "NORMA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-07-28",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NUMBER",
            "identifier": "22175",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.