MEDICARE: JULIO A ENRIQUEZ TORRES ARNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9296289	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	105902	WV
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC003804	MD

General Provider Information

NPI Number	:	1689981904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO A ENRIQUEZ TORRES ARNP

Provider Business Mailing Address
First Line	:	11970 SW 92ND LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2058
Country	:	US
Telephone Number	:	786-361-8413
Fax Number	:	754-222-5243

Provider Business Practice Location Address
First Line	:	11970 SW 92ND LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2058
Country	:	US
Telephone Number	:	786-290-3102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	05/01/2026

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