Provider Demographics
NPI:1477826824
Name:SAAD DE LA TORRE, AMADO (MD)
Entity Type:Individual
Prefix:
First Name:AMADO
Middle Name:
Last Name:SAAD DE LA TORRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AMADO
Other - Middle Name:
Other - Last Name:SAAD DE LA TORRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4155 SW 130TH SUITE 201 INTERAMERICA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FLORIDA
Mailing Address - Zip Code:33175
Mailing Address - Country:UM
Mailing Address - Phone:305-455-3500
Mailing Address - Fax:
Practice Address - Street 1:4155 SW 130TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3417
Practice Address - Country:US
Practice Address - Phone:305-455-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19423174400000X
FLACN870208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR19423OtherMEDICAL DOCTOR
FLACN870OtherMEDICAL DOCTOR