Healthcare Provider Details

I. General information

NPI: 1639082944
Provider Name (Legal Business Name): JENNIFER LAUREN TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COLLEGE TER
HOMESTEAD FL
33030-6009
US

IV. Provider business mailing address

27665 SW 142ND AVE
HOMESTEAD FL
33032-8856
US

V. Phone/Fax

Practice location:
  • Phone: 305-237-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: