Provider Demographics
NPI:1740493725
Name:CECILIO TORRES-RUIZ M.D. P.A.
Entity type:Organization
Organization Name:CECILIO TORRES-RUIZ M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES-RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:407-933-7900
Mailing Address - Street 1:4545 PLEASANT HILL RD STE 112
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3400
Mailing Address - Country:US
Mailing Address - Phone:407-933-7900
Mailing Address - Fax:407-933-8727
Practice Address - Street 1:4545 PLEASANT HILL RD STE 112
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3400
Practice Address - Country:US
Practice Address - Phone:407-933-7900
Practice Address - Fax:407-933-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-0068851261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27932XMedicare ID - Type UnspecifiedMEDICARE PROVIDER ID
FLF96392Medicare UPIN