Provider Demographics
NPI:1326154261
Name:TORRES, MANUEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:B
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 BARRACUDA LN
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-3733
Mailing Address - Country:US
Mailing Address - Phone:053-672-6003
Mailing Address - Fax:305-367-4573
Practice Address - Street 1:50 BARRACUDA LN
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3733
Practice Address - Country:US
Practice Address - Phone:305-367-2600
Practice Address - Fax:305-367-4573
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81948207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH66643Medicare UPIN
FL13590YMedicare ID - Type Unspecified