MEDICARE: MA WARLINDA PINUELA TORIALES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	658260	CA

General Provider Information

NPI Number	:	1215506639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MA WARLINDA PINUELA TORIALES

Provider Business Mailing Address
First Line	:	4005 68TH ST
Second Line	:
City	:	WOODSIDE
State	:	NY
Zip	:	11377-3831
Country	:	US
Telephone Number	:	347-421-5471
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 7TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-4502
Country	:	US
Telephone Number	:	347-421-5471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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