Provider Demographics
NPI:1285776898
Name:TORRES, NILKA LOPEZ (LCDA)
Entity type:Individual
Prefix:MRS
First Name:NILKA
Middle Name:LOPEZ
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCDA
Other - Prefix:MRS
Other - First Name:NILKA
Other - Middle Name:LOPEZ
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDA
Mailing Address - Street 1:PO BOX 7128
Mailing Address - Street 2:MIGRANT HEALTH CENTER , INC.
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:BO PALMAREJO CARR 101 KM 7.1
Practice Address - Street 2:MIGRANT HALTH CENTER, INC.
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-808-3509
Practice Address - Fax:787-808-0897
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR115131OtherREGISTRO