Provider Demographics
NPI:1851982136
Name:MARIN TORRES, WILMARIE
Entity Type:Individual
Prefix:
First Name:WILMARIE
Middle Name:
Last Name:MARIN 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:HC 2 BOX 31599
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9221
Mailing Address - Country:US
Mailing Address - Phone:787-243-1131
Mailing Address - Fax:
Practice Address - Street 1:100 GRAND BLVD LOS PASEOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-283-2555
Practice Address - Fax:787-283-2545
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician