Healthcare Provider Details

I. General information

NPI: 1427281799
Provider Name (Legal Business Name): ROSA L TORRES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2261438
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM05840
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: