Provider Demographics
NPI:1386409720
Name:TORRES GARCIA, YANELA
Entity type:Individual
Prefix:
First Name:YANELA
Middle Name:
Last Name:TORRES GARCIA
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 1:3354 NW 22ND CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2716
Mailing Address - Country:US
Mailing Address - Phone:954-801-5679
Mailing Address - Fax:
Practice Address - Street 1:3354 NW 22ND CT
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-2716
Practice Address - Country:US
Practice Address - Phone:954-801-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9607052163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse