MEDICARE: LETICIA DE LA TORRE B.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427409176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICIA DE LA TORRE B.S

Provider Business Mailing Address
First Line	:	16356 SW 139TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-1922
Country	:	US
Telephone Number	:	786-317-1017
Fax Number	:

Provider Business Practice Location Address
First Line	:	18710 SW 107TH AVE UNIT 15
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6750
Country	:	US
Telephone Number	:	786-459-9945
Fax Number	:	786-798-8997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	04/16/2026

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Directions to “ LETICIA DE LA TORRE B.S” Practice Location

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