Active NPI
Pierre Gary Latortue
- Family Medicine Physician
- Mayaguez, PR
National Provider Identifier
1962926980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19751
- Practice address
- 15 Calle Dr Basora N
Mayaguez, PR 00680-4833 - Phone
- (787) 834-0101
- NPI assigned
- Aug 1, 2017
- Last updated
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19751 | PR | Primary |
Addresses
Primary practice location
15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Mailing address
15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 834-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19751 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
107 H St
Poplar, MT 59255
Phone (406) 738-3491
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lodge Grass Clinic
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Rural Health Clinic/Center
- Wolf Point, MT
- NPI 1205927936
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1962926980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804833",
"telephone_number": "787-834-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CALLE DR BASORA N",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804833",
"telephone_number": "787-834-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATORTUE",
"first_name": "PIERRE",
"middle_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "19751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.