Individual provider Active NPI

Juan Carlos De la Torre

  • Social Worker
  • Hallandale Beach, FL
National Provider Identifier
1013440130
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCMS100085 Issued in FL
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

Updated by the provider on Aug 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
023691900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
CBHCMS100085FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Behavioral & Community Services, Inc. Social Worker CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.