Individual ProviderAnnamarie Sara De La TorreSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194(702) 471-0420PECOS EnrollmentBased on the most recent information from CMS, provider Annamarie Sara De La Torre 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 4 days ago.Profile DetailsProvider ID1518508597Provider TypeIndividualFull NameDe La Torre, Annamarie SaraGenderFemaleSole ProprietorYesEnumeration Date10/1/2019Last Updated4/8/2020Contact InformationPractice LocationPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194Phone(702) 471-0420FaxUnlisted FaxMailing LocationMailing Address2225 Renaissance Dr Ste A, Las Vegas, NV 89119-6731PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8701-SNevada