Provider Demographics
NPI:1720371784
Name:TORRES, LYMARI
Entity Type:Individual
Prefix:
First Name:LYMARI
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 AVE LOS PATRIOTAS
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-2309
Mailing Address - Country:US
Mailing Address - Phone:787-897-2290
Mailing Address - Fax:787-897-2530
Practice Address - Street 1:379 AVE LOS PATRIOTAS
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-2309
Practice Address - Country:US
Practice Address - Phone:787-897-2290
Practice Address - Fax:787-897-2530
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist