MEDICARE: MR. SERGIO TORRES JR.

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	103K00000X	Behavior Analyst	1-21-47012	FL
2	101YM0800X	Mental Health Counselor	MH15092	FL

General Provider Information

NPI Number	:	1205257466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SERGIO TORRES JR.

Provider Business Mailing Address
First Line	:	1054 SW 145TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-3109
Country	:	US
Telephone Number	:	786-252-3542
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 BRICKELL BAY DR STE 246
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131-2968
Country	:	US
Telephone Number	:	305-400-8685
Fax Number	:

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

Provider Enumeration Date	:	12/13/2013
Last Update Date	:	03/09/2026

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