Individual
JUANCARLOS TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 842-9206
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.205808
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001231
—
LA
05
—
1957585
—
LA
Enumeration date
06/18/2009
Last updated
05/21/2014
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