Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME122849 | FL |
NPI | 1346507944 |
---|---|
Provider Name | Mrs. Maria Eugenia De La Torre |
First Address | Miami, FL 33186-1829 |
Second Address | Miami, FL 33186-1829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 16/03/2016 |