MEDICARE: LIANET TORRES

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	235Z00000X	Speech-Language Pathologist	SZ8815	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871077800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANET TORRES

Provider Business Mailing Address
First Line	:	11107 SW 5TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-1378
Country	:	US
Telephone Number	:	786-499-9644
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NW 79TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33122-1073
Country	:	US
Telephone Number	:	305-562-1658
Fax Number	:	305-771-7199

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

Provider Enumeration Date	:	09/15/2018
Last Update Date	:	09/15/2018

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Directions to “ LIANET TORRES ” Practice Location

Language	Start Address	Practice Location

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