Individual provider Active NPI

Danisette Torres, MD

  • Neurology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1457912792
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME161211 Issued in FL
Practice address
6405 N Federal Hwy Ste 404
Fort Lauderdale, FL 33308-1414
Phone
(954) 958-7195
Fax
(954) 958-7115
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X ME161211 FL
Neurology Physician 2084N0400X ME161211 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy Ste 404
Fort Lauderdale, FL 33308-1414

Mailing address

2100 E Sample Rd Ste 101
Lighthouse Point, FL 33064-7574
Phone (954) 958-7195

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
I20241008003871 FL Practitioner - Neurology 0648701136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161211FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fau Broward Health Academic Practice Plan Inc Current Accepting new patients

Locations

2100 NE 36th St
Ste 101
Lighthouse Point, FL 33064
Phone (954) 782-9771

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1457912792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY STE 404",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081414",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "DANISETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME161211",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME161211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.