Provider Demographics
NPI:1750304168
Name:TORREGOSA, VICENTE SJ (MD)
Entity Type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:SJ
Last Name:TORREGOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504B RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5322
Mailing Address - Country:US
Mailing Address - Phone:256-546-3345
Mailing Address - Fax:256-546-3301
Practice Address - Street 1:1504B RAINBOW DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5322
Practice Address - Country:US
Practice Address - Phone:256-546-3345
Practice Address - Fax:256-546-3301
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00008339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51004644OtherBLUE CROSS
AL78892Medicare UPIN
AL51004644OtherBLUE CROSS