Organization Active NPI

Maria C Torres MD LLC

  • Primary Care Clinic/Center
  • Titusville, FL
National Provider Identifier
1225223985
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME90321 Issued in FL
Legal business name
MARIA C TORRES MD LLC
Practice address
766 Country Club Dr
Titusville, FL 32780-4900
Phone
(321) 264-1052
Fax
(321) 264-0778
NPI assigned
Sep 6, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Ms. Maria C Torres, M.D.NPI 1104928167
Title
Owner/Physician
Phone
(321) 264-1052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME90321 FL Primary

Addresses

Primary practice location

766 Country Club Dr
Titusville, FL 32780-4900

Mailing address

766 Country Club Dr
Titusville, FL 32780-4900
Phone (321) 264-1052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000595 FL Part B Supplier - Clinic/Group Practice 2961599022 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1225223985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 COUNTRY CLUB DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804900",
            "telephone_number": "321-264-1052",
            "fax_number": "321-264-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 COUNTRY CLUB DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804900",
            "telephone_number": "321-264-1052",
            "fax_number": "321-264-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C TORRES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-264-1052",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME90321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.