Provider Demographics
NPI:1326665258
Name:TORO REYES, LUIS FELIPE (DOM, LAC)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:FELIPE
Last Name:TORO REYES
Suffix:
Gender:M
Credentials:DOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-9555
Mailing Address - Country:US
Mailing Address - Phone:802-989-9031
Mailing Address - Fax:
Practice Address - Street 1:527 FERRY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:VT
Practice Address - Zip Code:05445-9555
Practice Address - Country:US
Practice Address - Phone:802-989-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3985171100000X
VT091.0134046171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist