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NPI Code Detail

MEDICARE: STEPHANIE TORRES GONZALEZ STUDENT

MEDICARE:   STEPHANIE TORRES GONZALEZ  STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPR

General Provider Information

NPI Number : 1245904564
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE TORRES GONZALEZ STUDENT
Provider Business Mailing Address
First Line : D12 CALLE MIS AMORES
Second Line :
City : CAGUAS
State : PR
Zip : 00725-5821
Country : US
Telephone Number : 787-930-3144
Fax Number :
Provider Business Practice Location Address
First Line : D12 CALLE MIS AMORES
Second Line :
City : CAGUAS
State : PR
Zip : 00725-5821
Country : US
Telephone Number : 787-930-3144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2021
Last Update Date : 08/02/2021

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Directions to “ STEPHANIE TORRES GONZALEZ STUDENT” Practice Location

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