Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 18872 | PR |
NPI | 1053629428 |
---|---|
Provider Name | Dr. Ruben Yared Torres |
First Address | Anasco, PR 00610-2382 |
Second Address | Mayaguez, PR 00682-6353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 08/09/2014 |