Provider Demographics
NPI:1306160171
Name:TORRES, ELSA ANGELICA
Entity type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:ANGELICA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 OUTER CAPE ST
Mailing Address - Street 2:APT. 204
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8245
Mailing Address - Country:US
Mailing Address - Phone:386-218-4308
Mailing Address - Fax:
Practice Address - Street 1:2519 OUTER CAPE ST
Practice Address - Street 2:APT. 204
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8245
Practice Address - Country:US
Practice Address - Phone:386-218-4308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care