MEDICARE: DR. LIBRADO TORRES D.C.

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	111N00000X	Chiropractor	10301	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OA6283	OTHER		GROUP MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1457512675	OTHER		NPI

General Provider Information

NPI Number	:	1457512675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIBRADO TORRES D.C.

Provider Business Mailing Address
First Line	:	801 W BRONZE DR
Second Line	:	APT D
City	:	PHARR
State	:	TX
Zip	:	78577-8171
Country	:	US
Telephone Number	:	956-358-8832
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 N EXPRESSWAY # 83
Second Line	:	STE. M
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-0903
Country	:	US
Telephone Number	:	956-546-5000
Fax Number	:	956-546-6231

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	08/17/2010

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Directions to “ DR. LIBRADO TORRES D.C.” Practice Location

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