Individual ProviderHumberto Enrique De La Torre HoganPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1505 E Sunnyslope Ln, Phoenix, AZ 85020-2728(602) 628-4015PECOS EnrollmentBased on the most recent information from CMS, provider Humberto Enrique De La Torre Hogan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1649161027Provider TypeIndividualFull NameDe La Torre Hogan, Humberto EnriqueSole ProprietorYesEnumeration Date7/14/2025Last Updated7/14/2025Contact InformationPractice LocationPractice Address1505 E Sunnyslope Ln, Phoenix, AZ 85020-2728Phone(602) 628-4015FaxUnlisted FaxMailing LocationMailing Address1505 E Sunnyslope Ln, Phoenix, AZ 85020-2728Phone(602) 628-4015FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer