Provider Demographics
NPI:1790465482
Name:QUILES TORRES, HAROLD ALEXIS (PHARMD, RCH)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:ALEXIS
Last Name:QUILES TORRES
Suffix:
Gender:M
Credentials:PHARMD, RCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 VIA DEL PARQUE
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6073
Mailing Address - Country:US
Mailing Address - Phone:787-519-4027
Mailing Address - Fax:
Practice Address - Street 1:PLAZA ENCANTADA URB ENCANTADA CARR 181 STE 2
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-748-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist