Basic Information
| Provider Information | |||||||||
| NPI: | 1952695819 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOVAR TORRES | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | PAULA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FORD PL STE 2E | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482023450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3138744806 | ||||||||
| FaxNumber: | 3138761305 | ||||||||
| Practice Location | |||||||||
| Address1: | 2799 W GRAND BLVD | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482022608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006536568 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2011 | ||||||||
| LastUpdateDate: | 03/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 03/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | 0101259239 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207RS0012X | 4301105718 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1952695819 | 05 | VA | MEDICAID | 1952695819 | 01 | VA | COVENTRY HEATLH CARE | OTHER | 1952695819 | 01 | VA | CIGNA | OTHER | 1952695819 | 01 | VA | USA MANAGED CARE | OTHER | 1952695819 | 01 | VA | OPTIMA HEALTH | OTHER | 1952695819 | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | 1952695819 | 01 | VA | UNITED HEALTHCARE | OTHER | 1952695819 | 01 | VA | TRICARE/CHAMPUS | OTHER | 1952695819 | 01 | VA | MULTIPLAN | OTHER |