De La Torre, Ricardo

De La Torre, Ricardo is an individual health care provider with primary practice located at 150 Kingsley Ln , Norfolk VA 23505-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. De La Torre, Ricardo can be contacted via phone (804) 262-6900.

Contact Information

Primary practice address
150 Kingsley Ln Norfolk VA 23505-4602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101035367 Virginia

Profile Details

NPI number 1982665998
LBN Legal business name De La Torre, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1982665998 NPPES
Virginia MEDICAID 7213735

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