Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ME110233 | FL |
NPI | 1912106220 |
---|---|
Provider Name | Leonardo Antonio Torres |
First Address | Miami, FL 33136-1119 |
Second Address | Miami, FL 33136-1119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 03/05/2016 |