MEDICARE: JOSEFINA TORRES UBARRI RPT

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
1	225100000X	Physical Therapist	798	PR

General Provider Information

NPI Number	:	1518955301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEFINA TORRES UBARRI RPT

Provider Business Mailing Address
First Line	:	PO BOX 1574
Second Line	:
City	:	ANASCO
State	:	PR
Zip	:	00610-1574
Country	:	US
Telephone Number	:	787-826-3606
Fax Number	:	787-826-3606

Provider Business Practice Location Address
First Line	:	CARRETERA 404 KM 0.3
Second Line	:	BARRIO DAGUEY
City	:	ANASCO
State	:	PR
Zip	:	00610-1574
Country	:	US
Telephone Number	:	787-826-3606
Fax Number	:	787-826-3606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	07/05/2017

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