MEDICARE: YESSICA IVON TORRES RAYA

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	390200000X	Student in an Organized Health Care Education/Training Program		AZ

General Provider Information

NPI Number	:	1841154861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESSICA IVON TORRES RAYA

Provider Business Mailing Address
First Line	:	10320 W MCDOWELL RD
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-4863
Country	:	US
Telephone Number	:	480-490-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	10320 W MCDOWELL RD
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-4863
Country	:	US
Telephone Number	:	480-490-7399
Fax Number	:

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

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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Directions to “ YESSICA IVON TORRES RAYA ” Practice Location

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