Provider Demographics
NPI:1679186936
Name:TORRES, GERARDO R (PHARMD)
Entity Type:Individual
Prefix:
First Name:GERARDO
Middle Name:R
Last Name:TORRES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 MARY ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5232
Mailing Address - Country:US
Mailing Address - Phone:305-441-8100
Mailing Address - Fax:
Practice Address - Street 1:3250 MARY ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5232
Practice Address - Country:US
Practice Address - Phone:305-448-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist