Robert de la Torre MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME78337 Issued in FL

Legal business name

ROBERT DE LA TORRE MD PA

Practice address

611 Zeagler Dr
Palatka, FL 32177-3810

Phone

(386) 328-5711

Fax

(386) 325-8178

NPI assigned

May 27, 2010

Last updated

Aug 24, 2010By 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

Robert De la Torre, MDNPI 1679501035

Title

Owner

Phone

(904) 824-4990

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Robert De la Torre, MD

  • Anesthesiology Physician
  • Palatka, FL
  • NPI 1679501035
  Authorized official Same address or phone

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1831418037",
    "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": "386-328-5711",
            "fax_number": "386-325-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DE LA TORRE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-824-4990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME78337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000UJ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270187100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Salvatore Ritchie, PA-C
• Maria-Josefina Santos Rivera, MD
• Angela Yvonne Rivers, L.M.T.
• Phillip Martin Robbins, DMD
• Robert B Dehgan MD PA
• Morgann D. Robinson, PHARM.D.
• Ashlea Rombach
• Alfred Thomas Romero, M.D
• Cary Rose, MD
• Lyndsey Rowland, PHARMD

• Anesthesiology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.