Individual provider Active NPI

Enrique Salvador De la Torre, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1306054515
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 98626 Issued in FL
Practice address
6785 W Flagler St
Miami, FL 33144-2923
Phone
(305) 680-2020
NPI assigned
May 19, 2007
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 98626 FL Primary
General Practice Physician 208D00000X ME98626 FL

Addresses

Primary practice location

6785 W Flagler St
Miami, FL 33144-2923

Mailing address

6785 W Flagler St
Miami, FL 33144-2923
Phone (305) 680-2020

Other identifiers 2

IdentifierTypeStateIssuer
108135600MedicaidFL
AE015ZOtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL qtrials.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070824000683 FL Practitioner - Internal Medicine 7719079441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6785 W Flagler St
Miami, FL 33144-2923
Phone (786) 207-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 98626FLMDInternal Medicine Physician
ME98626FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Community Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
Solera Health Systems CurrentSince Jun 7, 2023 Accepting new patients
Qtrials, Inc CurrentSince Jan 23, 2021 Accepting new patients
Solera Health Systems CurrentSince Jun 7, 2023 Accepting new patients
Novus Community Services, LLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

1205 SW 37th Ave
Miami, FL 33135
Phone (305) 448-8100

6785 W Flagler St
Miami, FL 33144
Phone (305) 680-2020

9900 SW 107th Ave
Ste 101
Miami, FL 33176
Phone (305) 964-5381

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1306054515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442923",
            "telephone_number": "305-680-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442923",
            "telephone_number": "305-680-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "ENRIQUE",
        "middle_name": "SALVADOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 98626",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME98626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108135600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AE015Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "qtrials.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient",
            "address_1": "6785 W Flagler St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331442923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.