Provider Demographics
NPI:1558760975
Name:DE JESUS TORRES, JORGE ADALBERTO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ADALBERTO
Last Name:DE JESUS TORRES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:CARR 165 KM 4.7
Mailing Address - Street 2:300 # 37 PLAZA AQUARIUM
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-870-4776
Mailing Address - Fax:787-870-4773
Practice Address - Street 1:CARR 165 KM 4.7
Practice Address - Street 2:300 # 37 PLAZA AQUARIUM
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-870-4776
Practice Address - Fax:787-870-5573
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist