Individual provider Active NPI

Benito M Torres, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakeland, FL
National Provider Identifier
1396928123
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS10656 Issued in FL
Practice address
631 Midflorida Dr
Lakeland, FL 33813-4902
Phone
(863) 583-4445
Fax
(863) 225-5289
NPI assigned
Dec 16, 2007
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34008893T OH
Interventional Pain Medicine Physician 208VP0014X OS10656 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS10656 FL Primary

Addresses

Primary practice location

631 Midflorida Dr
Lakeland, FL 33813-4902

Mailing address

631 Midflorida Dr
Lakeland, FL 33813-4902
Phone (863) 583-4445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110603000356 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2163609975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

631 Midflorida Dr
Lakeland, FL 33813-4902
Phone (863) 583-4445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008893TOHMDPhysical Medicine & Rehabilitation Physician
OS10656FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Orthopedic Sports & Spine Institute, LLC Physical Medicine & Rehabilitation Current Accepting new patients

Locations

100 S Scenic Hwy
Ste 104
Lake Wales, FL 33853
Phone (863) 324-6100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBAED/Endpoint/BIBAED

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1396928123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MIDFLORIDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134902",
            "telephone_number": "863-583-4445",
            "fax_number": "863-225-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MIDFLORIDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134902",
            "telephone_number": "863-583-4445",
            "fax_number": "863-225-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "BENITO",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34008893T",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS10656",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS10656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.