Provider Demographics
NPI:1386852986
Name:TORREGROSA, SAMANTHA R
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:R
Last Name:TORREGROSA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:R
Other - Last Name:TORRGROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9615 AVE LOS ROMEROS
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7036
Mailing Address - Country:US
Mailing Address - Phone:787-287-2200
Mailing Address - Fax:186-668-9309
Practice Address - Street 1:9615 AVE LOS ROMEROS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7036
Practice Address - Country:US
Practice Address - Phone:787-287-2200
Practice Address - Fax:186-668-9309
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003993183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician