Healthcare Provider Details

I. General information

NPI: 1386202216
Provider Name (Legal Business Name): VERENISSE TORRES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4442B LEBANON PIKE
HERMITAGE TN
37076-1312
US

IV. Provider business mailing address

4442B LEBANON PIKE
HERMITAGE TN
37076-1312
US

V. Phone/Fax

Practice location:
  • Phone: 615-852-5668
  • Fax: 877-721-8404
Mailing address:
  • Phone: 615-852-5668
  • Fax: 877-721-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number318625
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number247166
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: