De La Torre, Hector Israel

De La Torre, Hector Israel is an individual health care provider with primary practice located at 1233 N Main St Ste 1A , San Luis AZ 85336-0663. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. De La Torre, Hector Israel can be contacted via phone (928) 550-5514.

Contact Information

Primary practice address
1233 N Main St Ste 1A San Luis AZ 85336-0663
Fax: (928) 722-6113
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP9715 Arizona

Profile Details

NPI number 1205370293
LBN Legal business name De La Torre, Hector Israel
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Aug 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205370293 NPPES
Arizona MEDICAID 224111

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