Provider Demographics
NPI:1447566005
Name:TORRES, WANDRA INES I
Entity Type:Individual
Prefix:MS
First Name:WANDRA
Middle Name:INES
Last Name:TORRES
Suffix:I
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:V & B APTS A-1
Mailing Address - Street 2:CRUCE DAVILA
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617
Mailing Address - Country:US
Mailing Address - Phone:787-949-9055
Mailing Address - Fax:787-871-1593
Practice Address - Street 1:CALLE PALMER #22
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638
Practice Address - Country:US
Practice Address - Phone:787-871-2155
Practice Address - Fax:787-871-1593
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8024183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician