Provider Demographics
NPI:1659302420
Name:TORRES, GUADALUPE MARTA (ARNP, BSN)
Entity Type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:MARTA
Last Name:TORRES
Suffix:
Gender:F
Credentials:ARNP, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21305 ROCK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4876
Mailing Address - Country:US
Mailing Address - Phone:561-218-2461
Mailing Address - Fax:561-218-2464
Practice Address - Street 1:225 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4616
Practice Address - Country:US
Practice Address - Phone:561-274-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3339372363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3060624-00Medicaid
FLU2304ZMedicare ID - Type Unspecified
FL3060624-00Medicaid