NPIMap

Organization Active NPI

Advanced Behavioral Health Center PA

  • Psychiatry Physician
  • Tavares, FL
National Provider Identifier
1043378730
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVANCED BEHAVIORAL HEALTH CENTER PA
Practice address
1799 Salk Ave
Tavares, FL 32778-4311
Phone
(352) 744-8300
Fax
(352) 742-8305
NPI assigned
Dec 5, 2006
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis Edgardo Torres Rodriguez, M. D.
Title
President
Phone
(352) 742-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1799 Salk Ave
Tavares, FL 32778-4311

Mailing address

1799 Salk Ave
Tavares, FL 32778-4311
Phone (352) 744-8300

Other names 1

  • Luis Torres MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041214000938 FL Part B Supplier - Clinic/Group Practice 7315904000 Receives reassigned benefits from 9 practitioners
Practice locations: Tavares, FL; Winter Garden, FL

National Provider Directory

National Provider Directory

Locations

425 N Palm Ave
Palatka, FL 32177
Phone (352) 742-8300

1799 Salk Ave
Tavares, FL 32778
Phone (352) 742-0445

221 N Joanna Ave
Tavares, FL 32778
Phone (352) 742-8300

12200 W Colonial Dr
Ste 305
Winter Garden, FL 34787
Phone (352) 742-8300

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1043378730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784311",
            "telephone_number": "352-744-8300",
            "fax_number": "352-742-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784311",
            "telephone_number": "352-744-8300",
            "fax_number": "352-742-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "TORRES  RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-742-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luis Torres MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.