Individual provider Active NPI

Irene Gan Dela Torre, CNM

  • Advanced Practice Midwife
  • Carolina, PR
National Provider Identifier
1326250366
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
683 Issued in PR
Practice address
4429 Ave Isla Verde Apt 503
Carolina, PR 00979-5222
Phone
(787) 366-4800
Fax
(787) 281-7355
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 683 PR Primary

Addresses

Primary practice location

4429 Ave Isla Verde Apt 503
Carolina, PR 00979-5222

Mailing address

4429 Ave Isla Verde Apt 503
Carolina, PR 00979-5222
Phone (787) 366-4800

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
Credentials
Certified Nurse Midwife

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1326250366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 AVE ISLA VERDE APT 503",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795222",
            "telephone_number": "787-366-4800",
            "fax_number": "787-281-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 AVE ISLA VERDE APT 503",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795222",
            "telephone_number": "787-366-4800",
            "fax_number": "787-281-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA TORRE",
        "first_name": "IRENE",
        "middle_name": "GAN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PR",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.