Provider Demographics
NPI:1093976276
Name:TORRENTE, ALDO (PA)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:
Last Name:TORRENTE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:4730 N HABANA AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7163
Mailing Address - Country:US
Mailing Address - Phone:813-549-2134
Mailing Address - Fax:813-864-4436
Practice Address - Street 1:350 WESTPARK WAY
Practice Address - Street 2:STE 201
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3964
Practice Address - Country:US
Practice Address - Phone:817-722-5040
Practice Address - Fax:817-554-9924
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2016-08-24
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Provider Licenses
StateLicense IDTaxonomies
NY007293363A00000X
TXPA04312363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007293OtherLICENSE