Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0064381 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME0064381 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME0064381 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME0064381 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME0064381 | FL |
N | 207XX0801X | Orthopaedic Trauma Surgeon | ME0064381 | FL |
NPI | 1801871942 |
---|---|
Provider Name | Dr. Jose Antonio Torres |
First Address | Ocoee, FL 34761-4219 |
Second Address | Ocoee, FL 34761-4219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 09/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04342 | WELLCARE (01) | |
1169307 | UNITED HEALTHCARE (01) | |
200037204 | MEDICARE RAILROAD (01) | |
226419 | AVMED (01) | |
25391 | BCBS (01) | |
283249 | AMERIGROUP (01) | |
376020100 | (05) | FL |
4512461 | AETNA (01) | |
5252464 | CIGNA (01) | |
E89922 | (02) |