Active NPI
Luis Alejandro Torres, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Coconut Creek, FL
National Provider Identifier
1801977582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN12418
- Practice address
- 4660 W Hillsboro Blvd
7
Coconut Creek, FL 33073-2240 - Phone
- (954) 428-1803
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN12418 | FL | Primary |
Addresses
Primary practice location
4660 W Hillsboro Blvd
7
Coconut Creek, FL 33073-2240
Mailing address
10161 N Lake Vista Cir
Davie, FL 33328-1101
Phone (954) 474-4676
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 |
|---|---|---|---|
| DN12418 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801977582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10161 N LAKE VISTA CIR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281101",
"telephone_number": "954-474-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 W HILLSBORO BLVD",
"address_2": "7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732240",
"telephone_number": "954-428-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "LUIS",
"middle_name": "ALEJANDRO",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN12418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.