Healthcare Provider Details

I. General information

NPI: 1184057564
Provider Name (Legal Business Name): ERIC TORRES P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 MERCHANT ST # 3104
HONOLULU HI
96813-2945
US

IV. Provider business mailing address

335 MERCHANT ST # 3104
HONOLULU HI
96813-2945
US

V. Phone/Fax

Practice location:
  • Phone: 408-905-7650
  • Fax:
Mailing address:
  • Phone: 408-905-7650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number3197
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: