Healthcare Provider Details

I. General information

NPI: 1821512427
Provider Name (Legal Business Name): YUDIER PELAEZ TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E KINGS ST
AVENAL CA
93204-1502
US

IV. Provider business mailing address

PO BOX 580
LEMOORE CA
93245-0580
US

V. Phone/Fax

Practice location:
  • Phone: 559-386-9000
  • Fax: 559-386-9090
Mailing address:
  • Phone: 559-386-4500
  • Fax: 559-282-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME159302
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA157318
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: