Individual provider Active NPI

Mario De Jesus Torres

  • Certified Registered Nurse Anesthetist
  • Winter Haven, FL
National Provider Identifier
1316655970
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11022038 Issued in FL
Practice address
200 Avenue F NE
Winter Haven, FL 33881-4193
Phone
(863) 293-1121
NPI assigned
Nov 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 11022038 FL Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881-4193

Mailing address

745 E Lowell St
Lakeland, FL 33805-3041
Phone (646) 377-6293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419003211 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779948070 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Anesthesia Physician Solutions of North Florida LLCGroup PAC ID 5597066001, 280 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

200 Ave F NE
Winter Haven, FL 33881-4131

200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

700 W Oak St
Kissimmee, FL 34741-4996
Phone (954) 939-5000

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 359-4503

Hospital & facility affiliations

  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11022038FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Island Anesthesia LLC Single Specialty CurrentSince May 5, 2024 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Ams National LLC Single Specialty CurrentSince Jun 14, 2024 Accepting new patients
Baycare Medical Group, Inc. Single Specialty Current Accepting new patients
Baycare Medical Group, Inc CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Single Specialty CurrentSince May 6, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Innovative Medical Staffing Solutions Inc Single Specialty CurrentSince Jun 6, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Single Specialty CurrentSince Nov 20, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Single Specialty CurrentSince Apr 17, 2024 Accepting new patients
Sheridan Healthcorp Inc Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations (25 of 27)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

40100 Highway 27
#C
Davenport, FL 33837
Phone (863) 866-4192

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 11

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 5

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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1316655970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E LOWELL ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053041",
            "telephone_number": "646-377-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814193",
            "telephone_number": "863-293-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARIO",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11022038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.