Healthcare Provider Details

I. General information

NPI: 1578887162
Provider Name (Legal Business Name): ROSA M TORRES R.N., B.S.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 03/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 SW 76TH AVE
MIAMI FL
33144-4440
US

IV. Provider business mailing address

1440 SW 76TH AVE
MIAMI FL
33144-4440
US

V. Phone/Fax

Practice location:
  • Phone: 786-514-4632
  • Fax: 305-263-9753
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN9187780
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: