Provider Demographics
NPI:1306935309
Name:TORRALBA, ROSALYNN (MD)
Entity type:Individual
Prefix:
First Name:ROSALYNN
Middle Name:
Last Name:TORRALBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8559 EDINBROOK PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3747
Mailing Address - Country:US
Mailing Address - Phone:763-425-1888
Mailing Address - Fax:763-425-7179
Practice Address - Street 1:8559 EDINBROOK PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3747
Practice Address - Country:US
Practice Address - Phone:763-425-1888
Practice Address - Fax:763-425-7179
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0596353Medicaid
MN106789OtherUCARE/URGENT CARE
WI34678100Medicaid
MN1032683OtherPREFERRED ONE/URGENT CARE
MN94G31TOOtherBCBS/URGENT CARE
MN66-08644OtherMEDICA/URGENT CARE
MN896481500Medicaid
MNHP54460OtherHEALTHPARTNERS
IA0596353Medicaid
MN080014290Medicare ID - Type Unspecified