Provider Demographics
NPI:1992524532
Name:TORRES, JOSE A (RN)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:A
Last Name:TORRES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9610 DAHLIA
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4307
Mailing Address - Country:US
Mailing Address - Phone:210-383-3885
Mailing Address - Fax:
Practice Address - Street 1:9610 DAHLIA
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4307
Practice Address - Country:US
Practice Address - Phone:210-383-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX597239163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine