Provider Demographics
NPI:1922852094
Name:TORRES, SOLITA RAMIREZ
Entity Type:Individual
Prefix:
First Name:SOLITA
Middle Name:RAMIREZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 W SIMONDI AVE
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84116-2752
Mailing Address - Country:US
Mailing Address - Phone:801-819-2901
Mailing Address - Fax:
Practice Address - Street 1:720 VALDEZ DR APT D105
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84113-1120
Practice Address - Country:US
Practice Address - Phone:801-882-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider