Provider Demographics
NPI:1063752749
Name:TORRES, ROSA E (PH)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:E
Last Name:TORRES
Suffix:
Gender:F
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 CALLE GEMA
Mailing Address - Street 2:LA ALAMEDA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5809
Mailing Address - Country:US
Mailing Address - Phone:787-720-6798
Mailing Address - Fax:787-790-1400
Practice Address - Street 1:LOS FRAILES PLAZA GUAYNABO
Practice Address - Street 2:22CARR #20 KM3.4
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3481
Practice Address - Country:US
Practice Address - Phone:787-790-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist