Provider Demographics
NPI:1801879523
Name:TORRES, CARLOTA R (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:CARLOTA
Middle Name:R
Last Name:TORRES
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-0103
Mailing Address - Country:US
Mailing Address - Phone:508-748-1144
Mailing Address - Fax:
Practice Address - Street 1:242 WAREHAM RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1163
Practice Address - Country:US
Practice Address - Phone:508-748-1144
Practice Address - Fax:508-748-1144
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA86222364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANS0047Medicare UPIN