Provider Demographics
NPI:1235941857
Name:CARLOS TORRELLAS MD, LLC
Entity type:Organization
Organization Name:CARLOS TORRELLAS MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRELLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-296-2999
Mailing Address - Street 1:4190 BELFORT RD STE 140
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5871
Mailing Address - Country:US
Mailing Address - Phone:904-296-2999
Mailing Address - Fax:904-296-3623
Practice Address - Street 1:4190 BELFORT RD STE 140
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5871
Practice Address - Country:US
Practice Address - Phone:904-296-2999
Practice Address - Fax:904-296-3623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME53116OtherLICENSE