Healthcare Provider Details

I. General information

NPI: 1215470018
Provider Name (Legal Business Name): MARIA DE FATIMA TORRES PAES R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2016
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1885 BAY RD
EAST PALO ALTO CA
94303-1312
US

IV. Provider business mailing address

1885 BAY RD
EAST PALO ALTO CA
94303-1312
US

V. Phone/Fax

Practice location:
  • Phone: 650-330-7400
  • Fax:
Mailing address:
  • Phone: 650-330-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number801533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: