Provider Demographics
NPI:1558305136
Name:TORRES, CAMILO ERIC (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAMILO
Middle Name:ERIC
Last Name:TORRES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13535 SW 64TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5012
Mailing Address - Country:US
Mailing Address - Phone:305-386-1046
Mailing Address - Fax:
Practice Address - Street 1:7600 SW 57TH AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-662-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6735103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44537OtherBAPTIST HEALTH SYSTEMS