Provider Demographics
NPI:1164293924
Name:TORQUEZ, FATIMA MARCONDES DA SILVA
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:MARCONDES DA SILVA
Last Name:TORQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7083 WOODMONT WAY
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2600
Mailing Address - Country:US
Mailing Address - Phone:954-675-2695
Mailing Address - Fax:
Practice Address - Street 1:7083 WOODMONT WAY
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2600
Practice Address - Country:US
Practice Address - Phone:954-675-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist