Individual provider Active NPI

Hector Israel De la Torre, FNP-BC

  • Family Nurse Practitioner
  • San Luis, AZ
National Provider Identifier
1205370293
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9715 Issued in AZ
Practice address
1233 N Main St Ste 1a
San Luis, AZ 85336-0663
Phone
(928) 550-5514
Fax
(928) 722-6113
NPI assigned
Dec 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9715 AZ Primary

Addresses

Primary practice location

1233 N Main St Ste 1a
San Luis, AZ 85336-0663

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 315-7910

Other practice location 1

151 S Oak Ave Ste 7
San Luis, AZ 85336-0756
Phone (928) 366-5166

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-2000

Other identifiers 1

IdentifierTypeStateIssuer
224111MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222001480 AZ Practitioner - Nurse Practitioner 8224312012 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Trinity Rehabilitation PLLC 3 clinicians
Manek Inc 4 clinicians
San Luis Walk-in Clinic Inc 49 clinicians

Practice addresses (Care Compare)

901 W 24TH St
Yuma, AZ 85364-6384
Phone (928) 726-5000

950 E Main St
BLDG B
Somerton, AZ 85350-7409
Phone (928) 236-8001

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dash Medical LLC CurrentSince Dec 4, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Feb 8, 2020 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Feb 8, 2020 Accepting new patients
Manek Inc CurrentSince Oct 1, 2024 Accepting new patients
Integrated Trinity Rehabilitation PLLC CurrentSince Aug 1, 2024 Accepting new patients
Vega Medical Services PLLC Family PastSince Jan 25, 2026 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients

Locations

950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

901 W 24th St
Yuma, AZ 85364
Phone (928) 314-8812

2450 S 19th Ave
Yuma, AZ 85364
Phone (928) 344-0425

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1205370293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-315-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAIN ST STE 1A",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360663",
            "telephone_number": "928-550-5514",
            "fax_number": "928-722-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Oak Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360756",
            "country_code": "US",
            "telephone_number": "928-366-5166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-336-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "HECTOR",
        "middle_name": "ISRAEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224111",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.