Basic Information
| Provider Information | |||||||||
| NPI: | 1770176877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TORRES-CASTILLO | ||||||||
| FirstName: | ANGEL | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 W BUSCH BLVD | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336127900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139151588 | ||||||||
| FaxNumber: | 8135690588 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 W BUSCH BLVD | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336127900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139151588 | ||||||||
| FaxNumber: | 8135690588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2021 | ||||||||
| LastUpdateDate: | 03/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 22160 | PR | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | ACN1343 | FL | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.