Basic Information
Provider Information
NPI: 1992919526
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORRES LOPEZ
FirstName: ELIO
MiddleName: ARGIMIRO
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 SW 129TH AVE STE 105
Address2:  
City: PEMBROKE PINES
State: FL
PostalCode: 330271716
CountryCode: US
TelephoneNumber: 9542288180
FaxNumber: 9542288183
Practice Location
Address1: 1 SW 129TH AVE STE 105
Address2:  
City: PEMBROKE PINES
State: FL
PostalCode: 33027
CountryCode: US
TelephoneNumber: 9542288180
FaxNumber: 9542288183
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 09/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XME115471FLY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RN0300XMD442921PAN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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