Provider Demographics
NPI:1013081397
Name:TORRES, PASTOR M (MD)
Entity Type:Individual
Prefix:
First Name:PASTOR
Middle Name:M
Last Name:TORRES
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 1:665 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1963
Mailing Address - Country:US
Mailing Address - Phone:305-688-1700
Mailing Address - Fax:305-688-3735
Practice Address - Street 1:665 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1963
Practice Address - Country:US
Practice Address - Phone:305-688-1700
Practice Address - Fax:305-688-3735
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49643208D00000X
FL496432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D50529Medicare UPIN
FL02468AMedicare PIN