Provider Demographics
NPI:1326178823
Name:TORRES, JAVIER E
Entity Type:Individual
Prefix:MR
First Name:JAVIER
Middle Name:E
Last Name:TORRES
Suffix:
Gender:M
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 67
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0067
Mailing Address - Country:US
Mailing Address - Phone:787-892-1122
Mailing Address - Fax:787-892-8880
Practice Address - Street 1:22 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4067
Practice Address - Country:US
Practice Address - Phone:787-892-1189
Practice Address - Fax:787-892-8880
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist