Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME129011 | FL |
NPI | 1053542936 |
---|---|
Provider Name | Carlos Andres Torre |
First Address | Coral Gables, FL 33146-2918 |
Second Address | Plantation, FL 33324-1853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 11/06/2021 |