Healthcare Provider Details

I. General information

NPI: 1275556292
Provider Name (Legal Business Name): VIRMA V TORRES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CATON AVE
BALTIMORE MD
21229-5201
US

IV. Provider business mailing address

PO BOX 21182
BALTIMORE MD
21228-0682
US

V. Phone/Fax

Practice location:
  • Phone: 410-368-2501
  • Fax:
Mailing address:
  • Phone: 410-368-8640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD20269
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: