Provider Demographics
NPI:1558044206
Name:CORDERO TORRES, ARIANA ENID (PHARMD)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:ENID
Last Name:CORDERO TORRES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACIENDA JULIANA 34 CALLE MONSERRATE
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2467
Mailing Address - Country:US
Mailing Address - Phone:787-236-7975
Mailing Address - Fax:
Practice Address - Street 1:2150 PONCE BYP
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0300
Practice Address - Country:US
Practice Address - Phone:787-841-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist