Provider Demographics
NPI:1790541324
Name:TORRES, MARIA GRACIELA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:GRACIELA
Last Name:TORRES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 KENTUCKY DERBY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8751
Mailing Address - Country:US
Mailing Address - Phone:407-745-7056
Mailing Address - Fax:888-960-6364
Practice Address - Street 1:92 N DEAN RD STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3769
Practice Address - Country:US
Practice Address - Phone:407-916-0304
Practice Address - Fax:888-960-6364
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11030956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily