Basic Information
Provider Information
NPI: 1902191042
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES
FirstName: SERGIO
MiddleName: ANDRES
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 521 PARNASSUS AVE
Address2: RM 104/BOX 0131
City: SAN FRANCISCO
State: CA
PostalCode: 941432206
CountryCode: US
TelephoneNumber: 4154767931
FaxNumber: 4154764818
Practice Location
Address1: 505 PARNASSUS AVE
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432202
CountryCode: US
TelephoneNumber: 4154797931
FaxNumber: 4154764818
Other Information
ProviderEnumerationDate: 06/16/2011
LastUpdateDate: 02/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP8421TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA140524CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XA140524CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home