MEDICARE: DR. GISELLE M TORRES-CORDERO 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	ME158142	FL

General Provider Information

NPI Number	:	1275038697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GISELLE M TORRES-CORDERO MD

Provider Business Mailing Address
First Line	:	875 MILITARY TRL STE 200
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5700
Country	:	US
Telephone Number	:	561-944-2326
Fax Number	:	561-746-3770

Provider Business Practice Location Address
First Line	:	875 MILITARY TRL STE 200
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5700
Country	:	US
Telephone Number	:	561-944-2326
Fax Number	:	561-746-3770

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

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	03/14/2026

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