Gustavo Torres, M.D., P.A.
Non-Pharmacy Dispensing Site in Hialeah, FL. Organization (NPI-2).
NPI number1154516508
StatusActive
Last updated in NPPESJul 15, 2008
Details
- NPI
- 1154516508
- Entity type
- Organization (NPI-2)
- Legal business name
- Gustavo Torres, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Sep 10, 2007
- Last updated
- Jul 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | BT8024313 | FL | Yes |
Practice location
900 W 49th St# 450
Hialeah, FL 33012-3402
Phone 305-821-4020
Mailing address
3607 Old Conejo RdThousand Oaks, CA 91320-2123
Phone 805-375-0800
Authorized official
Destry Setser
Ceo
8003339800
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