Individual provider Active NPI

Jose Manuel De la Torre, MD

  • Physical Medicine & Rehabilitation Physician
  • Wesley Chapel, FL
National Provider Identifier
1881699577
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME89848 Issued in FL
Practice address
2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400
Phone
(813) 253-2273
Fax
(813) 844-2279
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME89848 FL Primary
Interventional Pain Medicine Physician 208VP0014X ME89848 FL

Addresses

Primary practice location

2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400

Mailing address

2014 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6400
Phone (813) 253-2273

Other identifiers 2

IdentifierTypeStateIssuer
269279100MedicaidFL
P00400544OtherFLRR MEDICARE

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
I20040823000949 FL Practitioner - Physical Medicine and Rehabilitation 2769456045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ponce School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Tampa Interventional Pain and Sports Medicine, IncGroup PAC ID 2567699606, 2 clinicians

Practice addresses (Care Compare)

2321 Crestover LN
Wesley Chapel, FL 33544-6791
Phone (813) 999-3030

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 1, 2010 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 1, 2010 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Physical Medicine & Rehabilitation Current Accepting new patients

Locations

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2014 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 815-5380

2014 Ashley Oaks Cir
#101
Wesley Chapel, FL 33544
Phone (813) 298-9026

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.delatorre@3409838735364.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1881699577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 ASHLEY OAKS CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446400",
            "telephone_number": "813-253-2273",
            "fax_number": "813-844-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 ASHLEY OAKS CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446400",
            "telephone_number": "813-253-2273",
            "fax_number": "813-844-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME89848",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME89848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269279100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00400544",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.