Individual provider Active NPI

Eduardo Torres

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174119879
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1008403 Issued in TX
Practice address
4201 Medical Dr Ste 330
San Antonio, TX 78229-5805
Phone
(210) 200-8798
Fax
(877) 904-3712
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1008403 TX Primary

Addresses

Primary practice location

4201 Medical Dr Ste 330
San Antonio, TX 78229-5805

Mailing address

4201 Medical Dr Ste 330
San Antonio, TX 78229-5805
Phone (210) 200-8798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330000686 TX Practitioner - Nurse Practitioner 2062829559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Internal Medicine PAGroup PAC ID 2062596026, 4 clinicians

Practice addresses (Care Compare)

8265 Fredericksburg Rd
San Antonio, TX 78229-3357
Phone (210) 200-8798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Internal Medicine, PA CurrentSince Jun 27, 2025 Accepting new patients
Olga Joukovski MD, PA CurrentSince Nov 27, 2020 Accepting new patients

Locations

4201 Medical Dr
San Antonio, TX 78229
Phone (210) 313-3315

3303 Rogers Rd
Ste 120
San Antonio, TX 78251
Phone (210) 520-5040

4201 Medical Dr
Ste 330
San Antonio, TX 78229
Phone (210) 614-4990

8265 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 200-8798

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12706/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1174119879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295805",
            "telephone_number": "210-200-8798",
            "fax_number": "877-904-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295805",
            "telephone_number": "210-200-8798",
            "fax_number": "877-904-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.