| Doctor Name: | DR. GILBERTO JUAN DE LA TORRE |
| NPI Number: | 1184650079 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 5504 |
| Business Practice Address: | 2121 E Flamingo Rd Ste 206 Las Vegas, NV - 891195124 |
| Business Phone Number: | 7023699100 |
| Business Fax Number: | 7023690291 |
| Mailing Address: | 2121 E Flamingo Rd Ste 206, LAS VEGAS |
| State: | NV |
| Postal Code: | 891195124 |
| Phone Number: | 7023246196 |
| Fax Number: | 7024361766 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 5504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |