MEDICARE: DR. ROY TORCUATOR M.D.

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	4301081354	MI

General Provider Information

NPI Number	:	1700095411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY TORCUATOR M.D.

Provider Business Mailing Address
First Line	:	6255 INKSTER RD STE 102
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2538
Country	:	US
Telephone Number	:	248-275-1144
Fax Number	:	248-275-1146

Provider Business Practice Location Address
First Line	:	6255 INKSTER RD STE 102
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2538
Country	:	US
Telephone Number	:	248-275-1144
Fax Number	:	248-275-1146

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/17/2026

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