Basic Information
| Provider Information | |||||||||
| NPI: | 1184621807 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TORRES | ||||||||
| FirstName: | RAMON | ||||||||
| MiddleName: | NONATO MAGLUNOG | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4638 SUN N LAKE BLVD | ||||||||
| Address2: | |||||||||
| City: | SEBRING | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338722176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8633860055 | ||||||||
| FaxNumber: | 8633860118 | ||||||||
| Practice Location | |||||||||
| Address1: | 4638 SUN N LAKE BLVD | ||||||||
| Address2: | |||||||||
| City: | SEBRING | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338722176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8633860055 | ||||||||
| FaxNumber: | 8633860118 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 08/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | ME0078011 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 268335 | 01 | FL | AVMED | OTHER | 060055983 | 01 | FL | RRR | OTHER | 15866 | 01 | FL | FHHS | OTHER | 261493600 | 05 | FL | MEDICAID | 46589 | 01 | FL | BCBS | OTHER | 5028721 | 01 | FL | AETNA | OTHER | 5711863 | 01 | FL | CIGNA | OTHER |