Organization Active NPI

David Torres, M.D., P.a.

  • Specialist
  • Port St Lucie, FL
National Provider Identifier
1932329471
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 88518 Issued in FL
Legal business name
DAVID TORRES, M.D., P.A.
Practice address
1871 SE Tiffany Ave
Suite 210
Port St Lucie, FL 34952-7585
Phone
(772) 398-3609
Fax
(772) 398-2255
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
David Torres, M.D.
Title
Owner
Phone
(772) 618-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 88518 FL Primary

Addresses

Primary practice location

1871 SE Tiffany Ave
Suite 210
Port St Lucie, FL 34952-7585

Mailing address

7691 Charleston Way
Port Saint Lucie, FL 34986-3003
Phone (772) 618-0280

Other identifiers 1

IdentifierTypeStateIssuer
269729701MedicaidFL

National Provider Directory

National Provider Directory

Locations

2215 Nebraska Ave
Ste 1-C
Fort Pierce, FL 34950
Phone (772) 466-0088

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1932329471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 CHARLESTON WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863003",
            "telephone_number": "772-618-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 SE TIFFANY AVE",
            "address_2": "SUITE 210",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527585",
            "telephone_number": "772-398-3609",
            "fax_number": "772-398-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TORRES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-618-0280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 88518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269729701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.