Provider Demographics
NPI:1124523964
Name:TORREALBA ACOSTA, GABRIEL (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:
Last Name:TORREALBA ACOSTA
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 RESEARCH DR RM 201G
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3023
Mailing Address - Country:US
Mailing Address - Phone:919-668-9115
Mailing Address - Fax:
Practice Address - Street 1:311 RESEARCH DR RM 201G
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3023
Practice Address - Country:US
Practice Address - Phone:919-668-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2022-009632084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program