Provider Demographics
NPI:1962678904
Name:TORRES, JULIE ELIZABETH (RT(R))
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ELIZABETH
Last Name:TORRES
Suffix:
Gender:F
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 DATA DR APT 204
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2792
Mailing Address - Country:US
Mailing Address - Phone:321-437-5767
Mailing Address - Fax:
Practice Address - Street 1:3602 DATA DR APT 204
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2792
Practice Address - Country:US
Practice Address - Phone:321-437-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT66999247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist