Active NPI
Tisdrey Torres, APRN
- Family Nurse Practitioner
- Deerfield Beach, FL
National Provider Identifier
1740825025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004359
- Practice address
- 1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753 - Phone
- (305) 243-5302
- Fax
- (305) 243-9161
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11004359 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11004359 | FL | Primary |
Addresses
Primary practice location
1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753
Mailing address
640 NW 78TH Ave
Pembroke Pines, FL 33024-7038
Phone (786) 431-7870
Other names 1
- Tisdrey Roque
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tt665@georgetown.edu |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11004359 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Nurse Practitioner | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
Organizations & group practices 2
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.
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1740825025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 NW 78TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330247038",
"telephone_number": "786-431-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 E NEWPORT CENTER DR",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427753",
"telephone_number": "305-243-5302",
"fax_number": "305-243-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "TISDREY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11004359",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004359",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tt665@georgetown.edu",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "3900 Reservoir Rd NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200072126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TISDREY",
"last_name": "ROQUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.