Healthcare Provider Details

I. General information

NPI: 1740461672
Provider Name (Legal Business Name): MONICA TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 N. 92ND ST. MEDICAL OFFICE PLAZA 4 SUITE 101
SCOTTSDALE AZ
85258
US

IV. Provider business mailing address

10200 N. 92ND ST. MEDICAL OFFICE PLAZA 4 SUITE 101
SCOTTSDALE AZ
85258
US

V. Phone/Fax

Practice location:
  • Phone: 480-889-0255
  • Fax:
Mailing address:
  • Phone: 480-889-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number41541
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number41541
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: