Provider Demographics
NPI:1215116496
Name:CARABALLO TORRES, NILSA (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:NILSA
Middle Name:
Last Name:CARABALLO TORRES
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 10 # 120 LA MATILDE
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00731
Mailing Address - Country:US
Mailing Address - Phone:787-484-6652
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 # 32 PONCE
Practice Address - Street 2:HOSPITAL DAMAS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-844-1520
Practice Address - Fax:787-842-1522
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician