Provider Demographics
NPI:1053840462
Name:TORRES, GORETTI (PHARM, D)
Entity Type:Individual
Prefix:DR
First Name:GORETTI
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PHARM, D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8030 CALLE TARTAK
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-5802
Mailing Address - Country:US
Mailing Address - Phone:787-641-0155
Mailing Address - Fax:787-641-0159
Practice Address - Street 1:8030 CALLE TARTAK
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-641-0155
Practice Address - Fax:787-641-0159
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPR005324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist