Provider Demographics
NPI:1134634710
Name:TORRES VARGAS, DENISSE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DENISSE
Middle Name:
Last Name:TORRES VARGAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CARR 842 APT 2605
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9758
Mailing Address - Country:US
Mailing Address - Phone:787-547-3061
Mailing Address - Fax:
Practice Address - Street 1:4145 AVE ARCADIO ESTRADA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-3203
Practice Address - Country:US
Practice Address - Phone:787-896-1040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6542183500000X
PR0065421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist