Provider Demographics
NPI:1184195778
Name:TORRES, LINA M
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:M
Last Name:TORRES
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 1:2216 WHITE PINE CIR APT A
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6112
Mailing Address - Country:US
Mailing Address - Phone:561-827-4698
Mailing Address - Fax:
Practice Address - Street 1:2216 WHITE PINE CIR APT A
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-6112
Practice Address - Country:US
Practice Address - Phone:561-827-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-08
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator