Organization Active NPI

Waldemar Torres-Carlo MD PA

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1417139486
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME90610 Issued in FL
Legal business name
WALDEMAR TORRES-CARLO MD PA
Practice address
4302 N Habana Ave
Suite 200
Tampa, FL 33607-6367
Phone
(813) 868-5531
Fax
(813) 868-5532
NPI assigned
Dec 3, 2007
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Waldemar Torres-Carlo, MD
Title
President
Phone
(813) 868-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME90610 FL Primary

Addresses

Primary practice location

4302 N Habana Ave
Suite 200
Tampa, FL 33607-6367

Mailing address

PO Box 47777
Tampa, FL 33646-0115
Phone (813) 868-5531

Other identifiers 2

IdentifierTypeStateIssuer
278403300MedicaidFL
H42649OtherFLUPIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1417139486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47777",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460115",
            "telephone_number": "813-868-5531",
            "fax_number": "813-868-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 N HABANA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076367",
            "telephone_number": "813-868-5531",
            "fax_number": "813-868-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEMAR TORRES-CARLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "TORRES-CARLO",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-868-5531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME90610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278403300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H42649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.