Individual
MARIA PRECIOUS TANGAN TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 WILBORN AVE, SOUTH BOSTON, VA 24592-1628
(434) 517-8022
(434) 517-8022
Mailing address
100 VICAR PL, DANVILLE, VA 24540-1396
(434) 836-5676
(434) 836-5874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054151
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006714978
—
VA
01
—
241073
BCBS
VA
01
—
44904
OPTIMA
VA
Enumeration date
03/09/2006
Last updated
04/07/2015
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