| Doctor Name: | MR. JORGE LUIS PARRA |
| NPI Number: | 1487962601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | MA59566 |
| Business Practice Address: | 4851 Nw 79 Ave 10 Doral, FL - 331661239 |
| Business Phone Number: | 7862672211 |
| Business Fax Number: | |
| Mailing Address: | 2540 W 8th Ct, HIALEAH |
| State: | FL |
| Postal Code: | 330101239 |
| Phone Number: | 7862672211 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2010 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MA59566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |