Doctor Name: | DR. JAIME LUIS TORRES |
NPI Number: | 1174592638 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12707 |
Business Practice Address: | 9030 W Fort Island Trl Ste 1 Crystal River, FL - 344292412 |
Business Phone Number: | 3527946048 |
Business Fax Number: | 3527952296 |
Mailing Address: | 14690 Spring Hill Dr, Ste # 101 SPRING HILL |
State: | FL |
Postal Code: | 346098102 |
Phone Number: | 3527990046 |
Fax Number: | 3527990115 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12707 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |