Provider Demographics
NPI:1952695819
Name:TOVAR TORRES, MARIA PAULA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PAULA
Last Name:TOVAR TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FORD PL STE 2E
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3450
Mailing Address - Country:US
Mailing Address - Phone:313-874-4806
Mailing Address - Fax:313-876-1305
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:800-653-6568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259239207RS0012X
MI4301105718207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1952695819Medicaid
VA1952695819OtherCOVENTRY HEATLH CARE
VA1952695819OtherCIGNA
VA1952695819OtherUSA MANAGED CARE
VA1952695819OtherOPTIMA HEALTH
VA1952695819OtherVIRGINIA HEALTH NETWORK
VA1952695819OtherUNITED HEALTHCARE
VA1952695819OtherTRICARE/CHAMPUS
VA1952695819OtherMULTIPLAN