Individual
RAFAEL ALBERTO TORRES FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1255
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2020-04762
NC
2086S0102X
Surgical Critical Care Physician
Primary
2020-04762
NC
2086S0127X
Trauma Surgery Physician
2020-04762
NC
Other
Enumeration date
09/26/2011
Last updated
07/15/2024
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