Provider Demographics
NPI:1992919526
Name:TORRES LOPEZ, ELIO ARGIMIRO (MD)
Entity type:Individual
Prefix:
First Name:ELIO
Middle Name:ARGIMIRO
Last Name:TORRES LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SW 129TH AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1718
Mailing Address - Country:US
Mailing Address - Phone:954-228-8180
Mailing Address - Fax:954-228-8183
Practice Address - Street 1:1 SW 129TH AVE STE 405
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1718
Practice Address - Country:US
Practice Address - Phone:954-228-8180
Practice Address - Fax:954-228-8183
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD442921207RN0300X
FLME115471207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHN742ZMedicare PIN