Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN14103 | FL |
Y | 213EG0000X | General Practice | DN14103 | FL |
NPI | 1003840125 |
---|---|
Provider Name | Dr. Mayra Giselle Torres |
First Address | Doral, FL 33178-2657 |
Second Address | Miami, FL 33125-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |