Provider Demographics
NPI:1497793822
Name:ZORAYDA J TORRES, MD, PLLC
Entity Type:Organization
Organization Name:ZORAYDA J TORRES, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZORAYDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-254-8019
Mailing Address - Street 1:9240 BONITA BEACH RD SE
Mailing Address - Street 2:2206
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4251
Mailing Address - Country:US
Mailing Address - Phone:239-948-5505
Mailing Address - Fax:239-948-5583
Practice Address - Street 1:9240 BONITA BEACH RD SE
Practice Address - Street 2:2206
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4249
Practice Address - Country:US
Practice Address - Phone:239-948-5505
Practice Address - Fax:239-948-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83722207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9037Medicare ID - Type Unspecified