Active NPI
Edgar Jimenez Torres
- Physician Assistant
- Kissimmee, FL
National Provider Identifier
1942894977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000579
- Practice address
- 1952 E Osceola Pkwy
Kissimmee, FL 34743-8626 - Phone
- (407) 978-6400
- Fax
- (407) 530-4326
- NPI assigned
- Feb 20, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000579 | PR | Primary |
Addresses
Primary practice location
1952 E Osceola Pkwy
Kissimmee, FL 34743-8626
Mailing address
1952 E Osceola Pkwy
Kissimmee, FL 34743-8626
Phone (407) 692-1810
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 |
|---|---|---|---|
| 000579 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1942894977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438626",
"telephone_number": "407-692-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438626",
"telephone_number": "407-978-6400",
"fax_number": "407-530-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "EDGAR",
"middle_name": "JIMENEZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.