Provider Demographics
NPI:1174845689
Name:TORRES, DIEGO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4994 SW 158TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5607
Mailing Address - Country:US
Mailing Address - Phone:954-441-9325
Mailing Address - Fax:
Practice Address - Street 1:3595 SW 22ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3012
Practice Address - Country:US
Practice Address - Phone:305-444-8427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35938183500000X
TX44113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist