Individual provider Active NPI

Rodrigo Torres, M.D.

  • Internal Medicine Physician
  • Sioux City, IA
National Provider Identifier
1952390189
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-44851 Issued in IA
Practice address
801 5TH St
Sioux City, IA 51101-1326
Phone
(712) 279-2010
Fax
(712) 279-2034
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME84354 FL
Internal Medicine Physician 207R00000X MD-44851 IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101-1326

Mailing address

708 Del Prado Blvd
S-9
Cape Coral, FL 33990-5616
Phone (239) 574-2644

Other practice location 1

708 Del Prado Blvd
S-9
Cape Coral, FL 33990-5616
Phone (239) 574-2644

Other identifiers 4

IdentifierTypeStateIssuer
81757OtherFLBCBS
P00286864OtherFLRAILROAD PROVIDER NUMBER
2736349 00MedicaidFL
5789173OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225000355 TX Practitioner - Hospitalist 9638114218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Jan 22, 2019 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jan 22, 2019 Accepting new patients

Locations

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1952390189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "S-9",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "telephone_number": "239-574-2644",
            "fax_number": "239-574-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 DEL PRADO BLVD",
            "address_2": "S-9",
            "address_purpose": "LOCATION",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905616",
            "country_code": "US",
            "telephone_number": "239-574-2644",
            "fax_number": "239-574-1451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84354",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-44851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81757",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "P00286864",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2736349 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5789173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.