MEDICARE: RITA TORRES SLP

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	225400000X	Rehabilitation Practitioner		TX

General Provider Information

NPI Number	:	1124217757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA TORRES SLP

Provider Business Mailing Address
First Line	:	212 ORIENTE ST
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-9492
Country	:	US
Telephone Number	:	956-330-3941
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 FM 1092 RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1839
Country	:	US
Telephone Number	:	281-499-9333
Fax Number	:

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

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

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