Provider Demographics
NPI:1033749726
Name:TORRES, BRENDA L (RPH)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:L
Last Name:TORRES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CALLE BETANCES
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-4464
Mailing Address - Country:US
Mailing Address - Phone:787-858-2280
Mailing Address - Fax:787-858-2280
Practice Address - Street 1:37 CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4464
Practice Address - Country:US
Practice Address - Phone:787-858-2280
Practice Address - Fax:787-858-2280
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist