Provider Demographics
NPI:1932692480
Name:TORRES, ROSA ELENA (LVN)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:ELENA
Last Name:TORRES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:ELENA
Other - Last Name:YORK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:6201 GRISSOM RD APT 4102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2223
Mailing Address - Country:US
Mailing Address - Phone:956-516-1988
Mailing Address - Fax:
Practice Address - Street 1:320 GILLMORE AVE APT A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78226-1969
Practice Address - Country:US
Practice Address - Phone:956-516-1988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-10
Last Update Date:2018-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX129906164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse