Provider Demographics
NPI:1720242712
Name:TORRES-COLLAZO, VICTOR ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:ANTONIO
Last Name:TORRES-COLLAZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 1608
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5317
Mailing Address - Country:US
Mailing Address - Phone:415-521-1506
Mailing Address - Fax:877-448-3551
Practice Address - Street 1:582 MARKET ST STE 1608
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5317
Practice Address - Country:US
Practice Address - Phone:415-521-1506
Practice Address - Fax:877-448-3551
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1335562084P0015X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine