Provider Demographics
NPI:1659910297
Name:TORRES, LUZ E (LCDA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:E
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCDA
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 2070
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2070
Mailing Address - Country:US
Mailing Address - Phone:787-630-9807
Mailing Address - Fax:
Practice Address - Street 1:51 AVE SAN JOSE W # O
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3557
Practice Address - Country:US
Practice Address - Phone:787-735-2241
Practice Address - Fax:787-735-3583
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR004373OtherLICENCIA