Healthcare Provider Details

I. General information

NPI: 1073263067
Provider Name (Legal Business Name): MANOLO TORRES RODRIGUEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10673 N KENDALL DR
MIAMI FL
33176-1510
US

IV. Provider business mailing address

10673 N KENDALL DR
MIAMI FL
33176-1510
US

V. Phone/Fax

Practice location:
  • Phone: 305-400-0486
  • Fax:
Mailing address:
  • Phone: 305-400-0486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME169792
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME169792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: