Provider Demographics
NPI:1932224326
Name:TORRES, QUIRICO UMALI (MD)
Entity Type:Individual
Prefix:DR
First Name:QUIRICO
Middle Name:UMALI
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N 19TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2375
Mailing Address - Country:US
Mailing Address - Phone:325-677-9989
Mailing Address - Fax:
Practice Address - Street 1:1101 N 19TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2375
Practice Address - Country:US
Practice Address - Phone:325-677-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9235207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033638001Medicaid
TX00GM69Medicare ID - Type UnspecifiedPROVIDER NUMBER