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NPI Code Detail

MEDICARE: LUIS FELIPE TORO REYES DOM, LAC

MEDICARE: LUIS FELIPE TORO REYES DOM, LAC
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
1171100000XAcupuncturistAP3985FL
2171100000XAcupuncturist091.0134046VT

General Provider Information

NPI Number : 1326665258
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS FELIPE TORO REYES DOM, LAC
Provider Business Mailing Address
First Line : 527 FERRY RD
Second Line :
City : CHARLOTTE
State : VT
Zip : 05445-9555
Country : US
Telephone Number : 802-989-9031
Fax Number :
Provider Business Practice Location Address
First Line : 527 FERRY RD
Second Line :
City : CHARLOTTE
State : VT
Zip : 05445-9555
Country : US
Telephone Number : 802-989-9031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2020
Last Update Date : 08/03/2023

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