Provider Demographics
NPI:1912567298
Name:TORRES VAZQUEZ, ADRIANA MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:MICHELLE
Last Name:TORRES VAZQUEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 CALLE EUREKA
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2324
Mailing Address - Country:US
Mailing Address - Phone:787-466-5969
Mailing Address - Fax:
Practice Address - Street 1:2460 CURTIS ELLIS DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2237
Practice Address - Country:US
Practice Address - Phone:828-456-7311
Practice Address - Fax:252-962-3320
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-02747208D00000X, 207R00000X
PR34247-R390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program