Healthcare Provider Details

I. General information

NPI: 1013848407
Provider Name (Legal Business Name): SANDRA GISELA TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 HANCOCK ST
QUINCY MA
02169-5250
US

IV. Provider business mailing address

1419 HANCOCK ST
QUINCY MA
02169-5250
US

V. Phone/Fax

Practice location:
  • Phone: 617-770-9690
  • Fax: 617-770-9892
Mailing address:
  • Phone: 617-770-9690
  • Fax: 617-770-9892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN193119
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: