Individual
IDELISA TORRES-BERASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9582 W COLONIAL DR, OCOEE, FL 34761-6992
(407) 896-3055
(826) 110-3866
Mailing address
9582 W COLONIAL DR, OCOEE, FL 34761-6992
(407) 896-3055
(407) 826-1103
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME94666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y007670NH01
NH BLUE SHIELD
NH
05
—
2003899
—
MA
01
—
215875
TUFTS HEALTH PLAN
MA
01
—
2238547
FIRST HEALTH
MA
01
—
30204323
NH MEDICAID
NH
01
—
3613069
AETNA/US HEALTHCARE
MA
01
—
46644
HEALTHY START
MA
01
—
8992153
CIGNA
MA
01
—
90531
FALLON
MA
01
—
971091
NETWORK HEALTH
MD
01
—
AA17289
HARVARD PILGRIM HEALTHCAR
MA
01
—
J26090
BLUE CROSS/BLUE SHIELD
MA
01
—
P00197113
RAILROAD MEDICARE
MA
Enumeration date
09/20/2005
Last updated
04/05/2018
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