Provider Demographics
NPI:1447945647
Name:TORRES PEDIATRICS CORP
Entity type:Organization
Organization Name:TORRES PEDIATRICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:LIBARDO
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-610-3407
Mailing Address - Street 1:47647 CALEO BAY DR STE 230
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-8859
Mailing Address - Country:US
Mailing Address - Phone:760-474-8155
Mailing Address - Fax:442-372-7472
Practice Address - Street 1:47647 CALEO BAY DR STE 230
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8859
Practice Address - Country:US
Practice Address - Phone:760-474-8155
Practice Address - Fax:442-372-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty