Individual
JORGE RABINO TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2306
Mailing address
150 N WYOMING ST, HAZLETON, PA 18201-5542
(570) 730-9141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066908
PA
363AM0700X
Medical Physician Assistant
Primary
MA066908
PA
Other
Enumeration date
08/19/2025
Last updated
02/03/2026
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