Healthcare Provider Details

I. General information

NPI: 1265918684
Provider Name (Legal Business Name): YOLAINE TORRES, MD, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 SW 107TH AVE
MIAMI FL
33165-2400
US

IV. Provider business mailing address

3455 SW 142ND CT
MIAMI FL
33175-7421
US

V. Phone/Fax

Practice location:
  • Phone: 305-560-4995
  • Fax: 786-870-1780
Mailing address:
  • Phone: 305-560-4995
  • Fax: 786-870-1780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME127411
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberME127411
License Number StateFL

VIII. Authorized Official

Name: DR. YOLAINE TORRES
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 305-560-4995