Active NPIIndividual providerSole proprietor

Jesus Andres Diaz La Torre, APRN

Nurse Practitioner, Family in Greenwich, Connecticut

NPI Number1316789084
Practice location
49 Lake Ave Ste 206, Greenwich, CT 06830-4519
Fax
203-900-1092
Last updated
June 12, 2024

Jesus Andres Diaz La Torre is a Nurse Practitioner, Family based in Greenwich, CT. Jesus Andres Diaz La Torre practices in Greenwich, CT and has the professional credentials of APRN. The NPI Number for Jesus Andres Diaz La Torre is 1316789084 and holds a License No. 13259 (CT). The current practice location address for Jesus Andres Diaz La Torre is 49 Lake Ave Ste 206, Greenwich, CT 06830-4519 and can be reached out via phone at 203-900-1090 and via fax at 203-900-1092.

Provider Profile Details

NPI Number
1316789084
Provider Name
Jesus Andres Diaz La Torre
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
49 Lake Ave Ste 206, Greenwich, CT 06830-4519
Phone Number
203-900-1090
Fax Number
203-900-1092
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2024
Last Update Date
June 12, 2024
Certification Date
June 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Lake Ave Ste 206
Greenwich, CT 06830-4519
Zip
06830-4519
Phone Number
203-900-1090
Fax Number
203-900-1092
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
49 Lake Ave Ste 206
Greenwich, CT 06830-4519
City
Greenwich
State
CT
Zip
06830-4519
Phone Number
203-900-1090
Fax Number
203-900-1092

License Information

License Number
13259
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jesus Andres Diaz La Torre, APRN?

The NPI number of Jesus Andres Diaz La Torre, APRN is 1316789084. It was assigned on June 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Jesus Andres Diaz La Torre, APRN?

Jesus Andres Diaz La Torre, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 13259.

Where does Jesus Andres Diaz La Torre, APRN practice?

The practice location is 49 Lake Ave Ste 206, Greenwich, CT 06830-4519. The office can be reached at 203-900-1090 (phone) or 203-900-1092 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316789084 directly on the NPPES registry website.

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