Provider Demographics
NPI:1639806391
Name:TORRES, CESILLE MARIEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:CESILLE
Middle Name:MARIEL
Last Name: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:PO BOX 856
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-0856
Mailing Address - Country:US
Mailing Address - Phone:939-257-1739
Mailing Address - Fax:
Practice Address - Street 1:150 CALLE F VIZCARRONDO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4483
Practice Address - Country:US
Practice Address - Phone:787-755-1375
Practice Address - Fax:787-755-1340
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2461183500000X
PR8033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist