Basic Information
Provider Information
NPI: 1316188915
EntityType: 2
ReplacementNPI:  
OrganizationName: ARMANDO DE LA TORRE, M.D. P.A.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 7200 NW 7TH ST
Address2: SUITE 150
City: MIAMI
State: FL
PostalCode: 331262948
CountryCode: US
TelephoneNumber: 3052646270
FaxNumber: 3052617739
Practice Location
Address1: 7200 NW 7TH ST
Address2: SUITE 150
City: MIAMI
State: FL
PostalCode: 331262948
CountryCode: US
TelephoneNumber: 3052646270
FaxNumber: 3052617739
Other Information
ProviderEnumerationDate: 03/12/2009
LastUpdateDate: 03/12/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DE LA TORRE
AuthorizedOfficialFirstName: ARMANDO
AuthorizedOfficialMiddleName: O
AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 3052646270
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XME44881FLY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
04727270005FL MEDICAID


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