Provider Demographics
NPI:1184621807
Name:TORRES, RAMON NONATO MAGLUNOG (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:NONATO MAGLUNOG
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 1:4638 SUN N LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2176
Mailing Address - Country:US
Mailing Address - Phone:863-386-0055
Mailing Address - Fax:863-386-0118
Practice Address - Street 1:4638 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2176
Practice Address - Country:US
Practice Address - Phone:863-386-0055
Practice Address - Fax:863-386-0118
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078011207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268335OtherAVMED
FL060055983OtherRRR
FL15866OtherFHHS
FL261493600Medicaid
FL46589OtherBCBS
FL5028721OtherAETNA
FL5711863OtherCIGNA
FL46589OtherBCBS
FL261493600Medicaid
FL5711863OtherCIGNA
FL268335OtherAVMED