Individual
JORGE A. DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
701 SW 27TH AVE, SUITE G20, MIAMI, FL 33135-3031
(305) 643-7800
(305) 643-1345
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764594500
—
FL
Enumeration date
06/16/2006
Last updated
05/21/2008
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