Healthcare Provider Details

I. General information

NPI: 1639331093
Provider Name (Legal Business Name): JIM TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 S STATE ROAD 7
HOLLYWOOD FL
33023-6718
US

IV. Provider business mailing address

1395 NW 167TH ST
MIAMI GARDENS FL
33169-5710
US

V. Phone/Fax

Practice location:
  • Phone: 954-743-5522
  • Fax: 954-743-5632
Mailing address:
  • Phone: 305-628-6117
  • Fax: 305-393-5989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME116656
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME116656
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: