Provider Demographics
NPI:1952390189
Name:TORRES, RODRIGO (MD)
Entity type:Individual
Prefix:DR
First Name:RODRIGO
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 DEL PRADO BLVD
Mailing Address - Street 2:S-9
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-5616
Mailing Address - Country:US
Mailing Address - Phone:239-574-2644
Mailing Address - Fax:239-574-1451
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-279-2010
Practice Address - Fax:712-279-2034
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84354207R00000X
IAMD-44851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL81757OtherBCBS
FLP00286864OtherRAILROAD PROVIDER NUMBER
FL2736349 00Medicaid
FL5789173OtherCIGNA
FLP00286864OtherRAILROAD PROVIDER NUMBER
FL2736349 00Medicaid