Provider Demographics
NPI:1770527681
Name:RODRIGUEZ TORRES, RAQUEL (PT)
Entity type:Individual
Prefix:MISS
First Name:RAQUEL
Middle Name:
Last Name:RODRIGUEZ TORRES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND RIBERAS DEL RIO
Mailing Address - Street 2:APT. 303A
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8899
Mailing Address - Country:US
Mailing Address - Phone:787-548-7103
Mailing Address - Fax:
Practice Address - Street 1:COND RIBERAS DEL RIO
Practice Address - Street 2:APT. 303A
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8899
Practice Address - Country:US
Practice Address - Phone:787-548-7103
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist