Active NPI
Juan Carlos De la Torre
- Social Worker
- Hallandale Beach, FL
National Provider Identifier
1013440130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CBHCMS100085
- Practice address
- 401 N Federal Hwy Apt 516
Hallandale Beach, FL 33009-3493 - Phone
- (786) 250-7359
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCMS100085 | FL | Primary |
Addresses
Primary practice location
401 N Federal Hwy Apt 516
Hallandale Beach, FL 33009-3493
Mailing address
401 N Federal Hwy Apt 516
Hallandale Beach, FL 33009-3493
Phone (786) 250-7359
Other practice location 1
9107 NW 193rd St
Hialeah, FL 33018-8406
Phone (786) 250-7359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023691900 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://harmonybehavioralflorida.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCMS100085 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Behavioral & Community Services, Inc. | Social Worker | Current | Accepting new patients |
| New Horizons Medical & Research LLC | Current | Accepting new patients |
Locations
1001 N Federal Hwy
Ste 105
Hallandale Beach, FL 33009
Phone (954) 613-5348
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Social Worker
- Hallandale Beach, FL
- NPI 1316474364
-
- Cardiovascular Disease Physician
- Palmetto Bay, FL
- NPI 1831914324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1013440130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N FEDERAL HWY APT 516",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093493",
"telephone_number": "786-250-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N FEDERAL HWY APT 516",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093493",
"telephone_number": "786-250-7359"
}
],
"practiceLocations": [
{
"address_1": "9107 NW 193rd St",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330188406",
"country_code": "US",
"telephone_number": "786-250-7359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA TORRE",
"first_name": "JUAN",
"middle_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCMS100085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023691900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://harmonybehavioralflorida.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1001 N Federal Hwy Ste 105",
"city": "Hallandale Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330092416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.