Healthcare Provider Details

I. General information

NPI: 1164987277
Provider Name (Legal Business Name): NICHOLAS DANIEL TORRES ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7031 SW 62ND AVE
SOUTH MIAMI FL
33143-4701
US

IV. Provider business mailing address

8900 SW 115TH TER
MIAMI FL
33176-4334
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7700
  • Fax:
Mailing address:
  • Phone: 786-728-3062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9277432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: