Active NPI
Hector Israel De la Torre, FNP-BC
- Family Nurse Practitioner
- San Luis, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9715
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224111 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCManek IncSan Luis Walk-in Clinic Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dash Medical LLC | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| Manek Inc | Current | Accepting new patients | |
| Integrated Trinity Rehabilitation PLLC | Current | Accepting new patients | |
| Vega Medical Services PLLC | Family | Past | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Yuma, AZ
- NPI 1659981587
AZ
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1336677426
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
-
- Urgent Care Clinic/Center
- San Luis, AZ
- NPI 1144680455
-
- Urgent Care Clinic/Center
- San Luis, AZ
- NPI 1083229843
-
- Ambulatory Surgical Clinic/Center
- San Luis, AZ
- NPI 1114549987
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1316552516
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.