Provider Demographics
NPI:1326600545
Name:TORRES, YUSLEIMYS MARGARITA
Entity Type:Individual
Prefix:
First Name:YUSLEIMYS
Middle Name:MARGARITA
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26055 SW 144TH AVE APT 216
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5654
Mailing Address - Country:US
Mailing Address - Phone:786-483-0474
Mailing Address - Fax:
Practice Address - Street 1:15516 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1554
Practice Address - Country:US
Practice Address - Phone:305-330-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN265171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty