Individual
JUAN CARLOS TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
4100 DAVID LN, ALEXANDRIA, VA 22311-1113
(832) 525-3237
Mailing address
4100 DAVID LN, ALEXANDRIA, VA 22311-1113
(832) 525-3237
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
2020039837
DC
363L00000X
Nurse Practitioner
Primary
0024180435
VA
Other
Enumeration date
08/29/2020
Last updated
03/19/2021
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