Healthcare Provider Details

I. General information

NPI: 1679863070
Provider Name (Legal Business Name): MARIA AURORA TORRES SY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 OWEN DR STE 107
FAYETTEVILLE NC
28304-3419
US

IV. Provider business mailing address

400 LIBERTY HILL RD
LUMBERTON NC
28358-2446
US

V. Phone/Fax

Practice location:
  • Phone: 910-307-7330
  • Fax: 910-307-7334
Mailing address:
  • Phone: 910-739-3318
  • Fax: 910-671-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number201001102
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: