Individual
MS. JAQUELINE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STAFF
Contact information
Practice address
9555 NW 23RD AVE, MIAMI, FL 33147-2457
(305) 303-5435
Mailing address
9555 NW 23RD AVE, MIAMI, FL 33147-2457
(305) 303-5435
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T62042985647-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685650196
—
FL
Enumeration date
04/29/2011
Last updated
04/29/2011
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