Organization
GUSTAVO A TORRES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO ALBERTO TORRES M.D., P.A. (PRESIDENT)
(305) 821-4020
Entity
Organization
Contact information
Practice address
900 W 49TH ST, SUITE 450, HIALEAH, FL 33012-3402
(305) 821-4020
(305) 821-1125
Mailing address
900 W 49TH ST, SUITE 450, HIALEAH, FL 33012-3402
(305) 821-4020
(305) 821-1125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269665700
—
FL
01
—
ME90691
STATE MEDICAL LICENSE
FL
Enumeration date
05/19/2007
Last updated
04/16/2009
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