Provider Demographics
NPI:1477705499
Name:TORRES, IUMY (MD)
Entity Type:Individual
Prefix:
First Name:IUMY
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 N 11TH ST
Mailing Address - Street 2:SUITE P3950
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1500
Mailing Address - Country:US
Mailing Address - Phone:409-892-0099
Mailing Address - Fax:409-892-1911
Practice Address - Street 1:755 N 11TH ST
Practice Address - Street 2:SUITE P3950
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1500
Practice Address - Country:US
Practice Address - Phone:409-892-0099
Practice Address - Fax:409-892-1911
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4803208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2143863Medicaid
TXB107881Medicare PIN