Active NPI
Samuel Torres, M.D.
- Urology Physician
- Savannah, GA
National Provider Identifier
1760448385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 015048
- Practice address
- 230 E Derenne Ave
Savannah, GA 31405-6736 - Phone
- (912) 790-4000
- Fax
- (912) 790-4407
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 015048 | GA | Primary |
Addresses
Primary practice location
230 E Derenne Ave
Savannah, GA 31405-6736
Mailing address
PO Box 14459
Savannah, GA 31416-1459
Phone (912) 790-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058088F | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015048 | GA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1760448385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14459",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314161459",
"telephone_number": "912-790-4000",
"fax_number": "912-790-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-790-4000",
"fax_number": "912-790-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "015048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000058088F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.