Provider Demographics
NPI:1174574628
Name:TORREGROSA, JOHN F (DPM)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:TORREGROSA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1199
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-1199
Mailing Address - Country:US
Mailing Address - Phone:305-853-5151
Mailing Address - Fax:305-853-5788
Practice Address - Street 1:7867 N KENDALL DR
Practice Address - Street 2:SUITE 130
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7742
Practice Address - Country:US
Practice Address - Phone:305-274-5959
Practice Address - Fax:305-275-0690
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2781213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL160502400OtherOWCP
FL65722OtherBCBS
FL340194400Medicaid
FL65722YMedicare PIN
FL160502400OtherOWCP