Provider Demographics
NPI:1932495439
Name:TORO, MARIA DE LOURDES (RPH)
Entity Type:Individual
Prefix:
First Name:MARIA DE LOURDES
Middle Name:
Last Name:TORO
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 1:30099 VALLE DEL PLATA
Mailing Address - Street 2:URB, VALLE DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-8410
Mailing Address - Country:US
Mailing Address - Phone:787-251-7651
Mailing Address - Fax:
Practice Address - Street 1:2135 CARR 2
Practice Address - Street 2:SUITE 1 DRIVE INN PLAZA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5240
Practice Address - Country:US
Practice Address - Phone:787-785-9176
Practice Address - Fax:787-785-9223
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist