MEDICARE: PEDRO TORRES-JIMENEZ 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	207R00000X	Internal Medicine Physician	177157	NY

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	:	1407007446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO TORRES-JIMENEZ MD

Provider Business Mailing Address
First Line	:	215 W 101ST ST
Second Line	:	SUITE 1-A
City	:	NEW YORK CITY
State	:	NY
Zip	:	10025-5045
Country	:	US
Telephone Number	:	212-749-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 W 101ST ST
Second Line	:	SUITE 1-A
City	:	NEW YORK CITY
State	:	NY
Zip	:	10025-5045
Country	:	US
Telephone Number	:	212-749-4400
Fax Number	:

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

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	10/08/2008

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