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NPI Code Detail

MEDICARE: DR. WILLIAM EDGARDO TORRES PEREZ M.D.

MEDICARE: DR. WILLIAM EDGARDO TORRES PEREZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician17442PR
2208D00000XGeneral Practice PhysicianACN567FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144460684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDGARDO TORRES PEREZ M.D.
Provider Business Mailing Address
First Line : 11434 N 53RD ST
Second Line :
City : TAMPA
State : FL
Zip : 33617-2216
Country : US
Telephone Number : 787-362-7710
Fax Number :
Provider Business Practice Location Address
First Line : 11434 N 53RD ST
Second Line :
City : TAMPA
State : FL
Zip : 33617-2216
Country : US
Telephone Number : 787-362-7710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 10/11/2024

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