Valerie Grace Torres De Lara, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME136164 Issued in FL

Practice address

3872 San Jose Park Dr
Jacksonville, FL 32217-4613

Phone

(904) 773-4330

Fax

(360) 462-5822

NPI assigned

Mar 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Valerie Grace De Lara Leach Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA

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.

• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Zoe Center for Pediatric & Adolescent Health, LLC

  • Pediatric Adolescent Medicine Physician
  • Thomaston, GA
  • NPI 1053684936
  NPD (past)
• Zoe Pediatric After Hours Care, Inc

  • Pediatrics Physician
  • Columbus, GA
  • NPI 1174971303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1164849113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 SAN JOSE PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174613",
            "telephone_number": "904-773-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 SAN JOSE PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174613",
            "telephone_number": "904-773-4330",
            "fax_number": "360-462-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LARA",
        "first_name": "VALERIE GRACE",
        "middle_name": "TORRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME136164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE GRACE",
            "last_name": "LEACH",
            "middle_name": "DE LARA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessie Jorge De la Pena, LMT
• Carolina Nadin De la Porte, M.D
• Jayne De la Rosa
• Nicole Marie De la Torre Salas, LMHC
• Ashley Marie De la Vega, DDS
• Yomara De Los Reyes Zulueta
• Jorel De Los Santos, PT
• Anthony N De Luca Jr., PA-C
• Vinicius De Magalhaes Carvalho, DDS
• Raquel De Mello Gomes, DDS

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.