Carlos Alberto Latorre in Vicksburg - Family Medicine

Carlos Alberto Latorre - NPI 1104088152

Carlos Alberto Latorre is a Family Medicine in Vicksburg, Mississippi. Carlos Alberto Latorre practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carlos Alberto Latorre is 1104088152. The last update date is 2019-07-08.

Carlos Alberto Latorre's current location address is 1901 Mission 66, Vicksburg, Mississippi. You can contact this provider via phone number 6016361173 and fax number 6016388287. The mailing address for Carlos Alberto Latorre is 1901 Mission 66, Vicksburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Carlos Alberto Latorre
Address 1901 Mission 66, Vicksburg, Mississippi
Phone Number 6016361173
Fax Number 6016388287
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104088152
Provider Enumeration Date 2008-07-01
Last Updated Date 2019-07-08

Provider Mailing Address Detail

Address 1901 Mission 66
City Vicksburg
State Mississippi (MS)
Post Code 391803711
Phone Number 6016361173
Fax Number 6016388287

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 21672
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3502 MS --

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FAQs about Carlos Alberto Latorre

What is the unique provider identifier assigned to Carlos Alberto Latorre?

The Carlos Alberto Latorre has been issued the NPI (National Provider Identifier) 1104088152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carlos Alberto Latorre's facilities are situated?

The facilities of Carlos Alberto Latorre are physically located at the following address: 1901 Mission 66, Vicksburg, MS, 391803711.

What is the Carlos Alberto Latorre's specialty and taxonomy code?

The Carlos Alberto Latorre's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date was the 1104088152 assigned to Carlos Alberto Latorre?

The Carlos Alberto Latorre was issued its 1104088152 on 2008-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Carlos Alberto Latorre most recently updated or revised?

The information pertaining to Carlos Alberto Latorre, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-08.

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