Provider Demographics
NPI:1295702280
Name:TORRES, NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NELSON
Other - Middle Name:
Other - Last Name:TORRES-CORTEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:595 E PALMETTO AVE
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4349
Mailing Address - Country:US
Mailing Address - Phone:787-432-6800
Mailing Address - Fax:
Practice Address - Street 1:595 E PALMETTO AVE
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4349
Practice Address - Country:US
Practice Address - Phone:787-432-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16007208D00000X
MI4301116408208D00000X
FLACN231208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice