Provider Demographics
NPI:1720735723
Name:WTC HEALTHCARE SERVICES
Entity type:Organization
Organization Name:WTC HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES CARBONELL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN - PMHNP
Authorized Official - Phone:239-692-2776
Mailing Address - Street 1:10024 SW 222ND ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1563
Mailing Address - Country:US
Mailing Address - Phone:239-692-2776
Mailing Address - Fax:
Practice Address - Street 1:10024 SW 222ND ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1563
Practice Address - Country:US
Practice Address - Phone:239-692-2776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty