MEDICARE: YORNEL TORRES RIVERA

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	363LF0000X	Family Nurse Practitioner	11030112	FL

General Provider Information

NPI Number	:	1447028956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YORNEL TORRES RIVERA

Provider Business Mailing Address
First Line	:	8801 NW 10TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-4702
Country	:	US
Telephone Number	:	786-626-2757
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 NW 10TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-4702
Country	:	US
Telephone Number	:	786-626-2757
Fax Number	:

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

Provider Enumeration Date	:	12/13/2023
Last Update Date	:	12/15/2023

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Directions to “ YORNEL TORRES RIVERA ” Practice Location

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