NPIMap

Individual provider Active NPI

Carlos Torres-Rivera, MD

  • Nephrology Physician
  • St Augustine, FL
National Provider Identifier
1215032446
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME79485 Issued in FL
Practice address
204 Southpark Cir E
St Augustine, FL 32086-5135
Phone
(904) 829-8300
Fax
(904) 829-8310
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME79485 FL Primary

Addresses

Primary practice location

204 Southpark Cir E
St Augustine, FL 32086-5135

Mailing address

PO Box 1779
St Augustine, FL 32085-1779
Phone (904) 824-4990

Other names 1

  • Carlos Torres Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000301 FL Practitioner - Internal MedicinePractitioner - Nephrology 3678618279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amir a Malik MD PAGroup PAC ID 4981621729, 4 clinicians

Practice addresses (Care Compare)

204 Southpark E Cir
Saint Augustine, FL 32086-5135
Phone (904) 829-8300

Hospital & facility affiliations

  • DaVita St Augustine Dialysis Dialysis facility, Saint Augustine, FL, CCN 102692
  • DaVita Palatka Dialysis Dialysis facility, Palatka, FL, CCN 682532
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79485FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amir a Malik MD PA Nephrology CurrentSince Sep 1, 2002 Accepting new patients
Amir a Malik MD PA Nephrology CurrentSince Sep 1, 2002 Accepting new patients

Locations

199 S US Highway 17
#C
East Palatka, FL 32131
Phone (386) 312-0556

264 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 246-5075

204 Southpark Cir E
St Augustine, FL 32086
Phone (904) 829-8300

Interoperability endpoints

  • Direct secure messaging: carlostorres@aammdpa.allscriptsdirect.net
  • Direct secure messaging: ctorresrivera743902@direct.shands.ufl.edu

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1215032446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320851779",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTHPARK CIR E",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-829-8300",
            "fax_number": "904-829-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-RIVERA",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME79485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "TORRES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.