Individual provider Active NPI

Reinel Requeiro Torres, DMD

  • General Practice Dentistry
  • Punta Gorda, FL
National Provider Identifier
1780425181
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28981 Issued in FL
Practice address
42031 Cypress Pkwy Unit 6
Punta Gorda, FL 33982-5138
Phone
(941) 833-1639
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28981 FL Primary

Addresses

Primary practice location

42031 Cypress Pkwy Unit 6
Punta Gorda, FL 33982-5138

Mailing address

43992 Boardwalk Loop Unit 1524
Punta Gorda, FL 33982-2639
Phone (786) 290-1266

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

LicenseStateTypeSpecialty
28981FLMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1780425181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43992 BOARDWALK LOOP UNIT 1524",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339822639",
            "telephone_number": "786-290-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42031 CYPRESS PKWY UNIT 6",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339825138",
            "telephone_number": "941-833-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUEIRO TORRES",
        "first_name": "REINEL",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.