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NPI Code Detail

MEDICARE: JESSICA DEL VALLE TORRES

MEDICARE:   JESSICA  DEL VALLE TORRES
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
1225700000XMassage TherapistMT104668FL
2225100000XPhysical Therapist1300PR
3225100000XPhysical TherapistPT35543FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11300OTHERPRPUERTO RICO LICENSE

General Provider Information

NPI Number : 1386797744
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DEL VALLE TORRES
Provider Business Mailing Address
First Line : 3905 TROVATI ST
Second Line :
City : ORLANDO
State : FL
Zip : 32839-8844
Country : US
Telephone Number : 407-437-3255
Fax Number :
Provider Business Practice Location Address
First Line : 831 S STATE ROAD 434
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3502
Country : US
Telephone Number : 407-587-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 07/01/2024

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Directions to “ JESSICA DEL VALLE TORRES ” Practice Location

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