MEDICARE: DR. JOSEFINA TORRES M.D.

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	208000000X	Pediatrics Physician	G3083	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285633859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEFINA TORRES M.D.

Provider Business Mailing Address
First Line	:	3609 PROSPER DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-3624
Country	:	US
Telephone Number	:	361-985-1330
Fax Number	:	361-985-6194

Provider Business Practice Location Address
First Line	:	3609 PROSPER DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-3624
Country	:	US
Telephone Number	:	361-985-1330
Fax Number	:	361-985-6194

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/02/2012

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