Basic Information
Provider Information
NPI: 1366835183
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: ZAIDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 610 VALLEY HEALTH PLZ
Address2:  
City: PARAMUS
State: NJ
PostalCode: 076523607
CountryCode: US
TelephoneNumber: 2012658200
FaxNumber: 2012651614
Practice Location
Address1: 610 VALLEY HEALTH PLZ
Address2:  
City: PARAMUS
State: NJ
PostalCode: 076523607
CountryCode: US
TelephoneNumber: 2012658200
FaxNumber: 2012651614
Other Information
ProviderEnumerationDate: 03/18/2015
LastUpdateDate: 03/18/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000X26NP06590800NJY Nursing Service ProvidersLicensed Practical Nurse 

No ID Information.


Home