Provider Demographics
NPI:1154443067
Name:TORRES, MAGALY
Entity Type:Individual
Prefix:MRS
First Name:MAGALY
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6004
Mailing Address - Street 2:MSC 172
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-6004
Mailing Address - Country:US
Mailing Address - Phone:787-847-3045
Mailing Address - Fax:787-847-3785
Practice Address - Street 1:31 CALLE MUNOZ RIVERA
Practice Address - Street 2:FARMACIA GONZALEZ
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-2219
Practice Address - Country:US
Practice Address - Phone:787-847-3045
Practice Address - Fax:787-847-3785
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1531183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician