Harold Nelson Stoddard Latorre, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12024 Issued in PR

Practice address

1519 Ave Ponce de Leon
Suite 1105
San Juan, PUERTO RICO 00910
AX

Phone

(787) 977-0707

Fax

(787) 977-0708

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dietetiko LLC

  • Registered Dietitian
  • Bayamon, PR
  • NPI 1003641127
  NPD (past)
• H S Caribbean Medical Services

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1073684627
  NPD (past)
• Metro Santurce, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Santurce, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1689646408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19536",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101536",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        },
        {
            "country_code": "AX",
            "country_name": "Aland Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1519 AVE PONCE DE LEON",
            "address_2": "SUITE 1105",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00910",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD LATORRE",
        "first_name": "HAROLD",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12024",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12024",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.