Provider Demographics
NPI:1518955301
Name:TORRES UBARRI, JOSEFINA (RPT)
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:TORRES UBARRI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1574
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1574
Mailing Address - Country:US
Mailing Address - Phone:787-826-3606
Mailing Address - Fax:787-826-3606
Practice Address - Street 1:CARRETERA 404 KM 0.3
Practice Address - Street 2:BARRIO DAGUEY
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-1574
Practice Address - Country:US
Practice Address - Phone:787-826-3606
Practice Address - Fax:787-826-3606
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84195Medicare ID - Type UnspecifiedPHYSICAL THERAPIST