Individual
JAIRO IVAN TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8452 RENALDS AVE, MARSHALL, VA 20115-3755
(571) 354-6595
(540) 227-6543
Mailing address
8452 RENALDS AVE, MARSHALL, VA 20115-3755
(571) 354-6595
(540) 227-6543
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101247647
VA
207Y00000X
Otolaryngology Physician
A102646
CA
207Y00000X
Otolaryngology Physician
ME114342
FL
207YP0228X
Pediatric Otolaryngology Physician
A102646
CA
Other
Enumeration date
05/07/2007
Last updated
05/19/2015
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