Healthcare Provider Details

I. General information

NPI: 1033178975
Provider Name (Legal Business Name): ALFREDO E TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WASHINGTON ST SUITE 208
MONROE LA
71201-6714
US

IV. Provider business mailing address

300 WASHINGTON ST SUITE 208
MONROE LA
71201-6714
US

V. Phone/Fax

Practice location:
  • Phone: 318-651-8337
  • Fax: 318-322-5694
Mailing address:
  • Phone: 318-651-8337
  • Fax: 318-322-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13171R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: