Healthcare Provider Details

I. General information

NPI: 1801871942
Provider Name (Legal Business Name): JOSE ANTONIO TORRES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 OCOEE COMMERCE PKWY
OCOEE FL
34761-4219
US

IV. Provider business mailing address

596 OCOEE COMMERCE PKWY
OCOEE FL
34761-4219
US

V. Phone/Fax

Practice location:
  • Phone: 407-654-3505
  • Fax: 407-654-4956
Mailing address:
  • Phone: 407-654-3505
  • Fax: 407-654-4956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0064381
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0064381
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME0064381
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME0064381
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberME0064381
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME0064381
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME0064381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: