Provider Demographics
NPI:1720109374
Name:JOSEFINA TORRES, M.D., P.A.
Entity Type:Organization
Organization Name:JOSEFINA TORRES, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:ROMANO
Authorized Official - Last Name:MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-985-1330
Mailing Address - Street 1:6110 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2455
Mailing Address - Country:US
Mailing Address - Phone:361-985-1330
Mailing Address - Fax:361-985-1399
Practice Address - Street 1:6110 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2455
Practice Address - Country:US
Practice Address - Phone:361-985-1330
Practice Address - Fax:361-985-1399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3083174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112084202Medicaid
TX8F9662OtherINDIVIDUAL BCBS#
TX172865101Medicaid
TX112084201Medicaid
TX200669401Medicaid
TX8F9660OtherBCBS INDIVIDUAL#
TX172864401Medicaid
TX172864402Medicaid
TX0024HWOtherBCBS GROUP#
TX200669401Medicaid
TX8F9660OtherBCBS INDIVIDUAL#
TXF45866Medicare UPIN
TX112084201Medicaid