Provider Demographics
NPI:1770176877
Name:TORRES-CASTILLO, ANGEL M (MD)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:M
Last Name:TORRES-CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W BUSCH BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7900
Mailing Address - Country:US
Mailing Address - Phone:813-915-1588
Mailing Address - Fax:813-569-0588
Practice Address - Street 1:205 W BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7900
Practice Address - Country:US
Practice Address - Phone:813-915-1588
Practice Address - Fax:813-569-0588
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1343208D00000X
PR22160208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice