MEDICARE: SANDRA GISELA TORRES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN193119	MA

General Provider Information

NPI Number	:	1013848407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA GISELA TORRES

Provider Business Mailing Address
First Line	:	1419 HANCOCK ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5250
Country	:	US
Telephone Number	:	617-770-9690
Fax Number	:	617-770-9892

Provider Business Practice Location Address
First Line	:	1419 HANCOCK ST
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5250
Country	:	US
Telephone Number	:	617-770-9690
Fax Number	:	617-770-9892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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