Provider Demographics
NPI:1164423885
Name:TORRES-NAVEDO, JULIO DIONISIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:DIONISIO
Last Name:TORRES-NAVEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15280 NW 79TH CT STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5873
Mailing Address - Country:US
Mailing Address - Phone:305-558-3724
Mailing Address - Fax:786-907-4485
Practice Address - Street 1:7100 W 20TH AVE
Practice Address - Street 2:SUITE 608
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1897
Practice Address - Country:US
Practice Address - Phone:305-557-4016
Practice Address - Fax:305-828-0670
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME35978207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069520300Medicaid
FL069520300Medicaid
FLD64819Medicare UPIN