Provider Demographics
NPI:1306345012
Name:TORRES, MA DEL ROSARIO
Entity type:Individual
Prefix:
First Name:MA
Middle Name:DEL ROSARIO
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 1:225 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3958
Mailing Address - Country:US
Mailing Address - Phone:701-857-0747
Mailing Address - Fax:701-857-0791
Practice Address - Street 1:225 3RD ST SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3958
Practice Address - Country:US
Practice Address - Phone:701-857-0747
Practice Address - Fax:701-857-0791
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator