Provider Demographics
NPI:1073914479
Name:LATORRE, YOHARA
Entity Type:Individual
Prefix:
First Name:YOHARA
Middle Name:
Last Name:LATORRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 BASS SLOUGH CIR APT 1404
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-3158
Mailing Address - Country:US
Mailing Address - Phone:407-780-9415
Mailing Address - Fax:
Practice Address - Street 1:1408 BASS SLOUGH CIR APT 1404
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-3158
Practice Address - Country:US
Practice Address - Phone:407-780-9415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator