Individual provider Active NPI

Diego Alejandro Torres Malave

  • Chiropractor
  • Mount Dora, FL
National Provider Identifier
1407643570
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15432 Issued in FL
Practice address
2255 Crescent Dr
Mount Dora, FL 32757-4708
Phone
(352) 720-3672
NPI assigned
Apr 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15432 FL Primary

Addresses

Primary practice location

2255 Crescent Dr
Mount Dora, FL 32757-4708

Mailing address

2255 Crescent Dr
Mount Dora, FL 32757-4708
Phone (352) 720-3672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15432FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Romans 12 Two PLLC Chiropractor CurrentSince Apr 27, 2025 Accepting new patients

Locations

2255 Crescent Dr
Mount Dora, FL 32757
Phone (352) 383-3826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1407643570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CRESCENT DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574708",
            "telephone_number": "352-720-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CRESCENT DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574708",
            "telephone_number": "352-720-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES MALAVE",
        "first_name": "DIEGO",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.