Provider Demographics
NPI:1942262860
Name:TORRES, FERNANDO JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:JAVIER
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8163 UPPER PERSE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7805
Mailing Address - Country:US
Mailing Address - Phone:407-552-2023
Mailing Address - Fax:
Practice Address - Street 1:100 W GORE ST STE 302
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1041
Practice Address - Country:US
Practice Address - Phone:787-587-5335
Practice Address - Fax:787-606-5335
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16008208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI-49326Medicare UPIN