Provider Demographics
NPI:1003859265
Name:TORRES, EFRAIN A (MD)
Entity Type:Individual
Prefix:
First Name:EFRAIN
Middle Name:A
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EFRAIN
Other - Middle Name:ALEJANDRO TORRES
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:54 BRIGHAM ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2208
Mailing Address - Country:US
Mailing Address - Phone:508-979-1100
Mailing Address - Fax:508-979-1918
Practice Address - Street 1:54 BRIGHAM ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2208
Practice Address - Country:US
Practice Address - Phone:508-979-1100
Practice Address - Fax:508-979-1918
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210494207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20012020OtherAMERIHEALTH MERCY
PA2263550000OtherAMERIHEALTH 65
PAT01584790OtherHIGHMARK BLUE SHIELD
PAP003208OtherGATEWAY HEALTH PLAN
PA000000124194OtherUNISON HEALTH PLAN
PA1858813Medicaid
PA000000124194OtherUNISON HEALTH PLAN
PA20012020OtherAMERIHEALTH MERCY