Provider Demographics
NPI:1245653070
Name:TORRES, ROBERTA (PNP MSN)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PNP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 CHRISTINA DR
Mailing Address - Street 2:APT 301
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2175
Mailing Address - Country:US
Mailing Address - Phone:973-568-2692
Mailing Address - Fax:
Practice Address - Street 1:927 45TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2450
Practice Address - Country:US
Practice Address - Phone:561-295-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00483200363LP0200X
FLARNP 9309148363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics