Healthcare Provider Details

I. General information

NPI: 1699630970
Provider Name (Legal Business Name): MARIA DEL ROSARIO TORRES RICARDO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15575 MIAMI LAKEWAY N APT 111
MIAMI LAKES FL
33014-5579
US

IV. Provider business mailing address

15575 MIAMI LAKEWAY N APT 111
MIAMI LAKES FL
33014-5579
US

V. Phone/Fax

Practice location:
  • Phone: 305-370-4201
  • Fax:
Mailing address:
  • Phone: 305-370-4201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF12250441
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: