MEDICARE: MRS. TAMEKO TERESA TORRES MINISTER

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	101YP1600X	Pastoral Counselor		PA
2	374K00000X	Religious Nonmedical Practitioner

General Provider Information

NPI Number	:	1750056370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMEKO TERESA TORRES MINISTER

Provider Business Mailing Address
First Line	:	495 N BRIDGE ST UNIT 6301
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-7513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 W JEFFERSON ST # 103
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-3515
Country	:	US
Telephone Number	:	267-952-5009
Fax Number	:

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

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	05/11/2026

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