Active NPI
Edward Torres, LMP
- Specialist
- Renton, WA
National Provider Identifier
1649453184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA18364
- Practice address
- 321 Burnett Ave S
Suite 306
Renton, WA 98057-2558 - Phone
- (425) 793-7505
- Fax
- (425) 793-8224
- NPI assigned
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA18364 | WA | Primary |
Addresses
Primary practice location
321 Burnett Ave S
Suite 306
Renton, WA 98057-2558
Mailing address
PO Box 562
Renton, WA 98057-0562
Phone (425) 793-7505
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA18364 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1649453184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 562",
"city": "RENTON",
"state": "WA",
"postal_code": "980570562",
"telephone_number": "425-793-7505",
"fax_number": "425-793-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 BURNETT AVE S",
"address_2": "SUITE 306",
"city": "RENTON",
"state": "WA",
"postal_code": "980572558",
"telephone_number": "425-793-7505",
"fax_number": "425-793-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "EDWARD",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA18364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.