Provider Demographics
NPI:1477826824
Name:SAAD DE LA TORRE, AMADO (MD)
Entity type:Individual
Prefix:
First Name:AMADO
Middle Name:
Last Name:SAAD DE LA TORRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AMADO
Other - Middle Name:
Other - Last Name:SAAD DE LA TORRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 NW 57TH CT STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3292
Mailing Address - Country:US
Mailing Address - Phone:305-649-8100
Mailing Address - Fax:
Practice Address - Street 1:7101 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2601
Practice Address - Country:US
Practice Address - Phone:786-388-9696
Practice Address - Fax:786-388-9697
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19423174400000X
FLACN870208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLACN870OtherMEDICAL DOCTOR
PR19423OtherMEDICAL DOCTOR