Healthcare Provider Details

I. General information

NPI: 1558100313
Provider Name (Legal Business Name): JOSUE GARCIA TORRES CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1574 CALLE BORI
SAN JUAN PR
00927-6113
US

IV. Provider business mailing address

HC 2 BOX 5763
PENUELAS PR
00624-9698
US

V. Phone/Fax

Practice location:
  • Phone: 939-306-9851
  • Fax:
Mailing address:
  • Phone: 787-422-7178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number1852
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: