Individual provider Active NPI

Rosemay T Latortue, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1396803615
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0050777 Issued in FL
Practice address
8751 N 30TH St
Tampa, FL 33604-2213
Phone
(813) 980-2422
Fax
(813) 980-2204
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0050777 FL Primary

Addresses

Primary practice location

8751 N 30TH St
Tampa, FL 33604-2213

Mailing address

8751 N 30TH St
Tampa, FL 33604-2213
Phone (813) 980-2422

Other identifiers 1

IdentifierTypeStateIssuer
1D048748100MedicaidFL

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
I20120206000059 FL Practitioner - Internal Medicine 6608033519 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050777FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Top Physicians Group, Inc Internal Medicine CurrentSince Jun 1, 1987 Accepting new patients

Locations

8751 N 30th St
Tampa, FL 33604
Phone (813) 980-2422

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1396803615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 N 30TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042213",
            "telephone_number": "813-980-2422",
            "fax_number": "813-980-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 N 30TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042213",
            "telephone_number": "813-980-2422",
            "fax_number": "813-980-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATORTUE",
        "first_name": "ROSEMAY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D048748100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.