Provider Demographics
NPI:1255028437
Name:TORRES-GONZALEZ, JOEMARIS J
Entity type:Individual
Prefix:
First Name:JOEMARIS
Middle Name:J
Last Name:TORRES-GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 RUNNING BULL RD APT 2220C
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-1010
Mailing Address - Country:US
Mailing Address - Phone:787-690-8174
Mailing Address - Fax:
Practice Address - Street 1:9010 RUNNING BULL RD APT 2220C
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-1010
Practice Address - Country:US
Practice Address - Phone:787-690-8174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer