Provider Demographics
NPI:1881656015
Name:TORRES, ADELAIDA L (MD)
Entity Type:Individual
Prefix:
First Name:ADELAIDA
Middle Name:L
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 1:4800 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2447
Mailing Address - Country:US
Mailing Address - Phone:850-477-2408
Mailing Address - Fax:850-478-2252
Practice Address - Street 1:4800 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2447
Practice Address - Country:US
Practice Address - Phone:850-477-2408
Practice Address - Fax:850-478-2252
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME29413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD53257Medicare UPIN
FLK2978Medicare ID - Type Unspecified