Dr. Rafael Torres PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301057250 Issued in MI

Legal business name

DR. RAFAEL TORRES PC

Practice address

6460 28TH St SE
Grand Rapids, MI 49546-6918

Phone

(616) 957-8197

Fax

(616) 957-5095

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Torres, M.D

Title

Owner/President

Phone

(616) 957-8197

Specialties & licenses 1

Addresses

Other names 1

• Cascade Immediate Care Center Doing business as

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1275712887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466918",
            "telephone_number": "616-957-8197",
            "fax_number": "616-957-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466918",
            "telephone_number": "616-957-8197",
            "fax_number": "616-957-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAFAEL TORRES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-957-8197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301057250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Immediate Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dragonfly Learners LLC

• General Practice Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.