| Hector Israel De La Torre, FNP-BC | |
|
1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | |
| (928) 550-5514 | |
| (928) 722-6113 |
| Full Name | Hector Israel De La Torre |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1233 N Main St Ste 1a, San Luis, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205370293 | NPI | - | NPPES |
| 224111 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP9715 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Trinity Rehabilitation Pllc | 0648695536 | 3 |
| Manek Inc | 1052607900 | 3 |
| San Luis Walk-in Clinic Inc | 2668361841 | 44 |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Entity Name | Manek Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184178071 PECOS PAC ID: 1052607900 Enrollment ID: O20160901001667 |
| Entity Name | Dash Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043764566 PECOS PAC ID: 6709166119 Enrollment ID: O20161130002259 |
| Entity Name | Integrated Trinity Rehabilitation Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659981587 PECOS PAC ID: 0648695536 Enrollment ID: O20200810001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Israel De La Torre, FNP-BC Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Hector Israel De La Torre, FNP-BC 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 Ph: (928) 550-5514 |
Taliah Anabell Torres, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 | |
Ms. Adlene Joseph, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Mrs. Marybel Rodriguez Gonzalez, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 E B St, San Luis, AZ 85336 Phone: 928-336-2055 | |
Larry Anthony Morales, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-550-5160 | |
Mrs. Leah K Mcnair, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-627-9222 Fax: 928-627-8315 | |
Daniela Graciano, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 E Bienestar Ln, San Luis, AZ 85336 Phone: 928-488-1523 | |
Helio Essau Angulo Valle, RN, APRN-RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 E B St, San Luis, AZ 85336 Phone: 928-336-2055 |