Individual
DR. JUAN M. LATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 544-7111
Mailing address
3000 N IH 35 STE 660, AUSTIN, TX 78705-1851
(512) 236-1310
(512) 236-6963
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L5802
TX
2081P0004X
Spinal Cord Injury Medicine Physician
L5802
TX
Other
Enumeration date
03/16/2006
Last updated
01/04/2022
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