MEDICARE: ROLAND TORRES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	188337-1	NY
2	207T00000X	Neurological Surgery Physician	ME122356	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154316180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND TORRES MD

Provider Business Mailing Address
First Line	:	13563 NARCOOSSEE RD STE 110
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-7138
Country	:	US
Telephone Number	:	407-619-6192
Fax Number	:

Provider Business Practice Location Address
First Line	:	13563 NARCOOSSEE RD STE 110
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-7138
Country	:	US
Telephone Number	:	407-691-6912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	01/30/2023

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