MARIA (MARA) TERESITA TORRES


Address: 22750 Canyon Ct, Castro Valley, CA 94552-5483
Phone: 5103056161

MARIA (MARA) TERESITA TORRES (NPI# 1639482136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639482136
Entity Type Individual
Full Name MARIA (MARA) TERESITA TORRES
Credential RN, MPH, PNP
Practice Address 22750 Canyon Ct
Castro Valley
CA 94552-5483
Mailing Address 1452 Redwood Rd
Castro Valley
CA 94552-5483
Practice Telephone 5103056161
Enumeration Date 2010-07-26
Last Update Date 2019-11-08
NPI Deactivation Date 08/18/2015
NPI Reactivation Date 2019-11-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
19951 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 22750 CANYON CT
City CASTRO VALLEY
State CA
Zip Code 94552-5483

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City CASTRO VALLEY
Zip Code 94552

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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