Individual provider Active NPI

Robert De la Torre, MD

  • Anesthesiology Physician
  • Palatka, FL
National Provider Identifier
1679501035
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME78337 Issued in FL
Practice address
611 Zeagler Dr
Palatka, FL 32177-3810
Phone
(386) 326-7850
Fax
(386) 328-6351
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME78337 FL Primary

Addresses

Primary practice location

611 Zeagler Dr
Palatka, FL 32177-3810

Mailing address

PO Box 3123
St Augustine, FL 32085-3123
Phone (904) 824-4990

Other identifiers 3

IdentifierTypeStateIssuer
300396500MedicaidFL
P00138445OtherFLRR MEDICARE
46767OtherFLBCBS

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
I20040928000164 FL Practitioner - Anesthesiology 1456254564 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Tranquil Anesthesiology LLCGroup PAC ID 0749598001, 26 clinicians
Metro Orlando Anesthesia Associates, LLCGroup PAC ID 4789008335, 8 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

15548 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (407) 547-1654

4901 Vineland Rd
Suite 150
Orlando, FL 32811-7190
Phone (470) 370-3272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince May 10, 2014 Accepting new patients
Lake Mary Surgery Center LLC Current Accepting new patients
Tranquil Anesthesiology LLC Anesthesiology CurrentSince Apr 3, 2025 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince May 23, 2014 Accepting new patients
FDHS Anesthesia LLC Anesthesiology CurrentSince Jun 4, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Feb 12, 2024 Accepting new patients
Amsurg Port Orange Anesthesia, LLC Anesthesiology CurrentSince May 7, 2014 Accepting new patients
Metro Orlando Anesthesia Associates, LLC Anesthesiology CurrentSince Dec 21, 2023 Accepting new patients
Quiescence Anesthesia LLC CurrentSince Aug 15, 2023 Accepting new patients
Overwatch Anesthesia CurrentSince Jan 1, 2023 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

483 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 367-0742

1468 Montreal Rd
Ste 200
Tucker, GA 30084
Phone (770) 638-1400

Organizations & group practices 11

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1679501035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773810",
            "telephone_number": "386-326-7850",
            "fax_number": "386-328-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME78337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300396500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00138445",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.