Provider Demographics
NPI:1144483207
Name:TORRES, GIUSEPPE BYRON (MD)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:BYRON
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13481 W MCDOWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2721
Mailing Address - Country:US
Mailing Address - Phone:800-233-3264
Mailing Address - Fax:866-837-6575
Practice Address - Street 1:13481 W MCDOWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2720
Practice Address - Country:US
Practice Address - Phone:800-233-3264
Practice Address - Fax:623-536-3725
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093000207Q00000X
AZ44618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ626754Medicaid