Healthcare Provider Details

I. General information

NPI: 1689703373
Provider Name (Legal Business Name): ROLANDO TORRES C.P.O., L.P.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 SW 40TH ST SUITE 506
MIAMI FL
33175-3582
US

IV. Provider business mailing address

12711 SW 75TH ST
MIAMI FL
33183-3475
US

V. Phone/Fax

Practice location:
  • Phone: 305-553-1217
  • Fax: 305-553-1237
Mailing address:
  • Phone: 305-553-1217
  • Fax: 305-553-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberPOR 75
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPOR 75
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: