Organization Active NPI

Henry G Delatorre MD PC

  • General Practice Physician
  • Du Bois, PA
National Provider Identifier
1679997076
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HENRY G DELATORRE MD PC
Practice address
90 Beaver Drive
214D, BLDG D
Dubois, PA 15801
Phone
(866) 813-9862
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Henry G Delatorre, MD
Title
Owner
Phone
(866) 813-9862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

90 Beaver Drive
214D, BLDG D
Dubois, PA 15801

Mailing address

90 Beaver Drive
214D, BLDG D
Dubois, PA 15801

National Provider Directory

National Provider Directory

Locations

90 Beaver Dr
Ste 214D
Dubois, PA 15801
Phone (814) 375-1234

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1679997076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DRIVE",
            "address_2": "214D, BLDG D",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DRIVE",
            "address_2": "214D, BLDG D",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "866-813-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY G DELATORRE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "DELATORRE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-813-9862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.