Healthcare Provider Details

I. General information

NPI: 1154248581
Provider Name (Legal Business Name): DIANA CAROLINA TORRES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 SOUTH UNIVERSITY DRIVE
DAVIE FL
33314
US

IV. Provider business mailing address

945 NW 251ST DR
NEWBERRY FL
32669-0045
US

V. Phone/Fax

Practice location:
  • Phone: 954-262-7213
  • Fax:
Mailing address:
  • Phone: 850-273-2390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number31849
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: