Provider Demographics
NPI:1235315193
Name:TORRES PRIMARY HOME CARE
Entity Type:Organization
Organization Name:TORRES PRIMARY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-712-3726
Mailing Address - Street 1:313 W VILLAGE BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2275
Mailing Address - Country:US
Mailing Address - Phone:956-712-3726
Mailing Address - Fax:956-712-3730
Practice Address - Street 1:313 W VILLAGE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2275
Practice Address - Country:US
Practice Address - Phone:956-712-3726
Practice Address - Fax:956-712-3730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010986251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health