Provider Demographics
NPI:1417676826
Name:MACHADO TORRES, MAYLI (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MAYLI
Middle Name:
Last Name:MACHADO TORRES
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2771 EXECUTIVE PARK DR STE 5
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3643
Mailing Address - Country:US
Mailing Address - Phone:954-777-8827
Mailing Address - Fax:
Practice Address - Street 1:2771 EXECUTIVE PARK DR STE 5
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3643
Practice Address - Country:US
Practice Address - Phone:954-777-8827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021634207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine