MEDICARE: ARIEL LAZARO TORRES MOLINA MD

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	208D00000X	General Practice Physician	ACN1788	FL

General Provider Information

NPI Number	:	1710427570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL LAZARO TORRES MOLINA MD

Provider Business Mailing Address
First Line	:	20291 SUMMERLIN RD STE 105
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3759
Country	:	US
Telephone Number	:	813-450-4609
Fax Number	:

Provider Business Practice Location Address
First Line	:	20291 SUMMERLIN RD STE 105
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3759
Country	:	US
Telephone Number	:	813-450-4609
Fax Number	:

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	03/23/2026

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