Provider Demographics
NPI:1649595646
Name:TORRES, MARCELA JIMENEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:JIMENEZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 PEMBROKE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2544
Mailing Address - Country:US
Mailing Address - Phone:754-217-4181
Mailing Address - Fax:754-217-4185
Practice Address - Street 1:12600 PEMBROKE RD STE 302
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2544
Practice Address - Country:US
Practice Address - Phone:754-217-4181
Practice Address - Fax:754-217-4185
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5078207V00000X
FLME 129659207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program