Provider Demographics
NPI:1447416292
Name:TORRENTO, MARLON CAJILIG (MD)
Entity Type:Individual
Prefix:DR
First Name:MARLON
Middle Name:CAJILIG
Last Name:TORRENTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 270240
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-0240
Mailing Address - Country:US
Mailing Address - Phone:636-375-4153
Mailing Address - Fax:636-333-4510
Practice Address - Street 1:1447 US HIGHWAY 61 STE C
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4151
Practice Address - Country:US
Practice Address - Phone:636-375-4153
Practice Address - Fax:636-333-4510
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2009022644207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1447416292Medicaid
MO148000008Medicare PIN