Healthcare Provider Details

I. General information

NPI: 1790991891
Provider Name (Legal Business Name): MIRIAM TORRES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCCOSH HEALTH CTR WASHINGTON ROAD
PRINCETON NJ
08544-0001
US

IV. Provider business mailing address

4394 SOUTHVIEW LN
DOYLESTOWN PA
18901-6512
US

V. Phone/Fax

Practice location:
  • Phone: 609-258-3141
  • Fax: 609-258-1355
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN240048L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number26NR11675300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: