| Luis De La Torre Jr, MD | |
|
1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | |
| (956) 365-6750 | |
| (956) 365-6769 |
| Full Name | Luis De La Torre Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1706 Treasure Hills Blvd, Harlingen, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306038757 | NPI | - | NPPES |
| RO152154 | Other | TX | DPS |
| M6097 | Other | TX | TMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M6097 (Texas) | Primary |
| Entity Name | Su Clinica Familiar |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285643304 PECOS PAC ID: 5496663429 Enrollment ID: O20040121001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis De La Torre Jr, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550 Ph: (956) 365-6750 | Luis De La Torre Jr, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 Ph: (956) 365-6750 |
Christian Gonzalez, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-421-2414 | |
Dr. Eleonor Ignacio Cajita, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761 Fax: 956-425-9207 | |
Alicia Gonzalez, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761 | |
Rafael Villalobos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2121 Pease St, Ste 207, Harlingen, TX 78550 Phone: 956-350-2660 Fax: 956-350-0505 | |
Luis Pablo Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-389-1100 | |
Dr. Syed K Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Midlane Dr, Harlingen, TX 78552 Phone: 956-230-6320 Fax: 956-230-6321 | |
Fernando Garcia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 201 E Jackson St, Harlingen, TX 78550 Phone: 956-421-4935 Fax: 855-520-7581 |