Provider Demographics
NPI:1427262625
Name:TORRES, EDGARDO (RPH)
Entity type:Individual
Prefix:MR
First Name:EDGARDO
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B10 CALLE 2
Mailing Address - Street 2:URB. DEL CARMEN
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-2803
Mailing Address - Country:US
Mailing Address - Phone:787-262-5907
Mailing Address - Fax:787-898-2226
Practice Address - Street 1:CARRETERA NO. 2 KM. 93.1
Practice Address - Street 2:BO. MEMBRILLO
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9713
Practice Address - Country:US
Practice Address - Phone:787-898-2226
Practice Address - Fax:787-898-2226
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist