Healthcare Provider Details

I. General information

NPI: 1679211767
Provider Name (Legal Business Name): DAYANA TORRES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 SW 137TH AVE STE 232
MIAMI FL
33175-6320
US

IV. Provider business mailing address

5920 SW 151ST CT
MIAMI FL
33193-2765
US

V. Phone/Fax

Practice location:
  • Phone: 305-560-4995
  • Fax:
Mailing address:
  • Phone: 786-357-5946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number14228
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number210278917S
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11019325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: