Healthcare Provider Details

I. General information

NPI: 1518879501
Provider Name (Legal Business Name): PEDRO ALBERTO VARONA TORRES REGISTERED NURSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 W FLAGLER ST STE 3E
MIAMI FL
33144-2100
US

IV. Provider business mailing address

96 BEECHWOOD AVE
BRIDGEPORT CT
06604-2521
US

V. Phone/Fax

Practice location:
  • Phone: 305-262-3396
  • Fax: 305-262-3397
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number227704
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: