MEDICARE: MAYRA A. TORRES BRINK PA-C

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	363A00000X	Physician Assistant	PA319	ME

General Provider Information

NPI Number	:	1427399906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYRA A. TORRES BRINK PA-C

Provider Business Mailing Address
First Line	:	12 SHUMAN AVE STE 6
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6020
Country	:	US
Telephone Number	:	207-307-0958
Fax Number	:	207-512-5909

Provider Business Practice Location Address
First Line	:	12 SHUMAN AVE STE 6
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6020
Country	:	US
Telephone Number	:	207-307-0958
Fax Number	:	207-512-5909

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

Provider Enumeration Date	:	03/08/2013
Last Update Date	:	05/13/2026

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