Provider Demographics
NPI:1851491369
Name:TORRES, MILVA E (RPH)
Entity Type:Individual
Prefix:
First Name:MILVA
Middle Name:E
Last Name:TORRES
Suffix:
Gender:F
Credentials:RPH
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 1234
Mailing Address - Street 2:SOUNDVIEW STATION
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-0965
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:553 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3762
Practice Address - Country:US
Practice Address - Phone:718-292-8513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003961183500000X
NY040322183500000X
NJ28RI02335800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist