Provider Demographics
NPI:1548151079
Name:DAMIAN TORRES, MIRIAM EVELYN (RN)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:EVELYN
Last Name:DAMIAN TORRES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:EVELYN
Other - Last Name:GIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:548 OAKSIDE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3834
Mailing Address - Country:US
Mailing Address - Phone:646-326-4397
Mailing Address - Fax:
Practice Address - Street 1:548 OAKSIDE AVE APT 2
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3834
Practice Address - Country:US
Practice Address - Phone:646-326-4397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95365524163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse