Individual
RAISA A. TORRES-PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029
(212) 423-6262
Mailing address
1901 1ST AVE OFC 6C-4, NEW YORK, NY 10029-7491
(212) 423-6262
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
292773
NY
390200000X
Student in an Organized Health Care Education/Training Program
31,442-R
PR
Other
Enumeration date
08/29/2013
Last updated
09/23/2018
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