Provider Demographics
NPI:1154455525
Name:VILORIA, LUIS E (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:E
Last Name:VILORIA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CALLE BARBOSA
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-3945
Mailing Address - Country:US
Mailing Address - Phone:787-733-8255
Mailing Address - Fax:787-733-0205
Practice Address - Street 1:52 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3945
Practice Address - Country:US
Practice Address - Phone:787-733-8255
Practice Address - Fax:787-733-0205
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist