Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Alberto Latorre, MD

Individual provider Family Medicine Physician · NPI 1104088152

Carlos Alberto Latorre, MD is a Family Practice in Vicksburg, Mississippi. Qualified in 2008, 18 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 636-0097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 S 28th Ave, Hattiesburg, MS 39402-2610 — (601) 296-2990
  • 1907 Mission 66, Vicksburg, MS 39180-3711 — (601) 636-1173

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21672 (MS)

Record details

NPI number1104088152
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address1901 Mission 66, Vicksburg, MS 39180-3711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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