Provider Demographics
NPI:1588647796
Name:TORRES-VIERA, CARLOS GABRIEL (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:GABRIEL
Last Name:TORRES-VIERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 SUNSET DRIVE, SUITE 103
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5198
Mailing Address - Country:US
Mailing Address - Phone:305-666-4044
Mailing Address - Fax:305-667-8387
Practice Address - Street 1:5975 SUNSET DRIVE, SUITE 103
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5198
Practice Address - Country:US
Practice Address - Phone:305-666-4044
Practice Address - Fax:305-667-8387
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034732208M00000X
FLME101531207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000534300Medicaid
CT001347328Medicaid
CT001347328Medicaid
CT110008833Medicare ID - Type UnspecifiedYNH MEDICAL SERVICES