Individual ProviderMonique TorresPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address130 Pine State St Ste C, Lillington, NC 27546-9414(910) 474-0050(910) 494-7856PECOS EnrollmentBased on the most recent information from CMS, provider Monique Torres is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922562834Provider TypeIndividualFull NameTorres, MoniqueCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/24/2019Last Updated8/4/2021Contact InformationPractice LocationPractice Address130 Pine State St Ste C, Lillington, NC 27546-9414Phone(910) 474-0050Fax(863) 228-8484Mailing LocationMailing Address46 Tilden Howington Dr, Lillington, NC 27546-5659Phone(910) 494-7856FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerNorth CarolinaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0010-08851North Carolina