Active NPI
Waldemar Torres-Carlo MD PA
- Ophthalmology Physician
- Tampa, FL
National Provider Identifier
1417139486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME90610
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278403300 | Medicaid | FL | |
| H42649 | Other | FL | UPIN |
National Provider Directory
National Provider DirectoryNPI 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
- Wal-Mart Stores East, LP (Vision Center 30-1960)
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- Wal-Mart Stores East, LP (Vision Center 30-2740)
- Wala Transport LLC
- Richard Hamilton Waldbart, D.M.D.
- Rayhanah Waldin, DO
- Michal Waldman, D.P.M
- Alex Lamar Waldron
- Laurie Beth Waldron, PA-C
- Rhett Waldron, DO
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.