Provider Demographics
NPI:1740824580
Name:PEREZ-TORRES, CHRISTIAN JESUS
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JESUS
Last Name:PEREZ-TORRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VCUHS GME ADMINISTRATION, BOX 980257
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0257
Mailing Address - Country:US
Mailing Address - Phone:804-828-9783
Mailing Address - Fax:
Practice Address - Street 1:400 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1438
Practice Address - Country:US
Practice Address - Phone:804-786-3174
Practice Address - Fax:804-371-8595
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101282972207ZF0201X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology