Provider Demographics
NPI:1710032065
Name:TORRES VILELA CORPORATION
Entity Type:Organization
Organization Name:TORRES VILELA CORPORATION
Other - Org Name:FARMACIA ENSENADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRIA
Authorized Official - Middle Name:NILSA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-821-0555
Mailing Address - Street 1:LAJAS ROAD 75 B
Mailing Address - Street 2:
Mailing Address - City:ENSENADA
Mailing Address - State:PR
Mailing Address - Zip Code:00647
Mailing Address - Country:US
Mailing Address - Phone:787-821-0555
Mailing Address - Fax:787-821-0560
Practice Address - Street 1:CARR 3116 KM 1 HM 5
Practice Address - Street 2:BO ENSENADA
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653
Practice Address - Country:US
Practice Address - Phone:787-821-0555
Practice Address - Fax:787-821-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-F-21343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy