Healthcare Provider Details

I. General information

NPI: 1811047996
Provider Name (Legal Business Name): RICHARD CARTER-TORRES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6735 CONROY RD STE 221
ORLANDO FL
32835-3570
US

IV. Provider business mailing address

49 W COLONIAL DR APT 2408
ORLANDO FL
32801-7309
US

V. Phone/Fax

Practice location:
  • Phone: 787-475-4965
  • Fax:
Mailing address:
  • Phone: 787-475-4965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number183325
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number15284
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number183325
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number15284
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME116230
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME116230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: