Organization Active NPI

Gustavo a Torres MD PA

  • Specialist
  • Hialeah, FL
National Provider Identifier
1962610139
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME90691 Issued in FL
Legal business name
GUSTAVO A TORRES MD PA
Practice address
900 W 49TH St
Suite 450
Hialeah, FL 33012-3402
Phone
(305) 821-4020
Fax
(305) 821-1125
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Gustavo Alberto Torres, M.D., P.A.NPI 1720088784
Title
President
Phone
(305) 821-4020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME90691 FL Primary

Addresses

Primary practice location

900 W 49TH St
Suite 450
Hialeah, FL 33012-3402

Mailing address

900 W 49TH St
Suite 450
Hialeah, FL 33012-3402
Phone (305) 821-4020

Other identifiers 2

IdentifierTypeStateIssuer
ME90691OtherFLSTATE MEDICAL LICENSE
269665700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000426 FL Part B Supplier - Clinic/Group Practice 0749204873 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

900 W 49th St
Ste 450
Hialeah, FL 33012
Phone (305) 560-4995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1962610139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 450",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-821-4020",
            "fax_number": "305-821-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 450",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "305-821-4020",
            "fax_number": "305-821-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO A TORRES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-821-4020",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME90691",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269665700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.