MDLT Physician Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MDLT PHYSICIAN SERVICES LLC

Practice address

27327 SW 133Rd CT
Homestead, FL 33032-8582

Phone

(786) 380-1538

NPI assigned

Jul 4, 2023

Last updated

Jul 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Eugenia De la Torre, MDNPI 1346507944

Title

Ambr

Phone

(786) 380-1538

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Eugenia De la Torre, MD

  • Adult Medicine Physician
  • Miami, FL
  • NPI 1346507944
  Authorized official Same address or phone

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1467139196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27327 SW 133RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328582",
            "telephone_number": "786-380-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27327 SW 133RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328582",
            "telephone_number": "786-380-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDLT PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-380-1538",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.