Active NPI
Rodrigo Garcia de la Torre Astudillo, M.D.
- Pediatrics Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD52215
- Practice address
- 2051 Charlie Hall Blvd
Charleston, SC 29414 - Phone
- (843) 573-2535
- Fax
- (843) 573-2534
- NPI assigned
- Jun 11, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD52215 | SC | Primary |
Addresses
Primary practice location
2051 Charlie Hall Blvd
Charleston, SC 29414
Mailing address
2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535
Other practice location 1
2015 2nd Ave # 101
Summerville, SC 29486-7881
Phone (843) 737-9465
Other practice location 2
776 Daniel Ellis Dr. Bldg 2
Suite A
Charleston, SC 29412-2946
Phone (843) 795-8100
Other practice location 3
1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579
Phone (843) 971-2992
Other practice location 4
9165 University Blvd Ste 100
North Charleston, SC 29406-7133
Phone (843) 284-4255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522152 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD52215 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Care, Inc | Pediatrics | Current | Accepting new patients |
| Carolina Family Care, Inc | Pediatrics | Current | Accepting new patients |
| Seacoast Pediatrics | Past | Accepting new patients | |
| Carolina Family Care, Inc | Pediatrics | Past | Accepting new patients |
| Coastal Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
Locations
2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215
2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 573-2535
Interoperability endpoints
- rgarciadelatorreastudillo245396@direct.musc.edu
- rodrigo.garcia.de.la.torre.astudillo.1@1152.direct.athenahealth.com
- direct@direct.musc.edu
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Charleston, SC
- NPI 1003846783
-
- Pediatrics Physician
- Charleston, SC
- NPI 1750318101
-
- Pediatrics Physician
- Charleston, SC
- NPI 1770700759
-
- Legal Medicine
- Charleston, SC
- NPI 1053445817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1629459920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145834",
"telephone_number": "843-573-2535",
"fax_number": "843-573-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-573-2535",
"fax_number": "843-573-2534"
}
],
"practiceLocations": [
{
"address_1": "2015 2nd Ave # 101",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294867881",
"country_code": "US",
"telephone_number": "843-737-9465",
"fax_number": "843-737-9466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "776 Daniel Ellis Dr. Bldg 2",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294122946",
"country_code": "US",
"telephone_number": "843-795-8100",
"fax_number": "843-722-3010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1952 Long Grove Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294647579",
"country_code": "US",
"telephone_number": "843-971-2992",
"fax_number": "843-971-2998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9165 University Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294067133",
"country_code": "US",
"telephone_number": "843-284-4255",
"fax_number": "843-284-4256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA DE LA TORRE ASTUDILLO",
"first_name": "RODRIGO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MD52215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522152",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "776 Daniel Ellis Dr. Bldg 2",
"address_2": "Suite A",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294122946",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.