Doctor Name: | ROSALY MARIE DIAZ TORRUELLAS |
NPI Number: | 1114340858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 17739 |
Business Practice Address: | 4700 Las Vegas Blvd N Nellis Afb, NV - 891916600 |
Business Phone Number: | 7026532700 |
Business Fax Number: | |
Mailing Address: | 4700 Las Vegas Blvd N, NELLIS AFB |
State: | NV |
Postal Code: | 891916600 |
Phone Number: | 7026532700 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2014 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |