MEDICARE: DR. DIEGO T. TORRES II II 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
1	207Q00000X	Family Medicine Physician	ME 79483	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DA2751	OTHER	FL	MEDICARE RAILROAD
7	P00039042	OTHER	FL	MEDICARE RAILROAD IND.

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	364530402	OTHER	FL	FLORIDA MEMORIAL HOSPITAL
2	364530402	OTHER	FL	VOLUSIA HEALTH NETWORK
3	364530402	OTHER	FL	HUMANA EPO/PPO
5	ME 79483	OTHER	FL	MEDICAL LICENSE
6	P 12014598	OTHER	FL	MULTIPLAN
8	53955	OTHER	FL	SOUTH CARE/GEHA
9	3740307	OTHER	FL	CIGNA
10	115035	OTHER	FL	FLORIDA HEALTHCARE NUMBER
11	364530402	OTHER	FL	UNITED HEALTHCARE
12	49907	OTHER	FL	BLUE CROSS BLUE SHIELD FL
13	7835270	OTHER	FL	AETNA PPO/POS
14	2675770	OTHER	FL	AETNA HMO/QPOS
15	2124011	OTHER	FL	FIRST HEALTH
16	10D1017164	OTHER	FL	CLIA WAIVED CERT. NUMBER
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821093105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIEGO T. TORRES II II M.D.

Provider Business Mailing Address
First Line	:	325 CLYDE MORRIS BLVD
Second Line	:	STE 320
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8179
Country	:	US
Telephone Number	:	386-676-2367
Fax Number	:	386-615-6402

Provider Business Practice Location Address
First Line	:	325 CLYDE MORRIS BLVD
Second Line	:	STE 320
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8179
Country	:	US
Telephone Number	:	386-676-2367
Fax Number	:	386-615-6402

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	03/07/2023

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