Provider Demographics
NPI:1952479586
Name:TORRES, LILLIAN (RPH, CGP)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:LILLIAN
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, CGP
Mailing Address - Street 1:52 CALLE TIBES
Mailing Address - Street 2:MANSION DEL SUR
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2094
Mailing Address - Country:US
Mailing Address - Phone:787-812-1008
Mailing Address - Fax:
Practice Address - Street 1:52 CALLE TIBES
Practice Address - Street 2:MANSION DEL SUR
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2094
Practice Address - Country:US
Practice Address - Phone:787-237-7404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4284183500000X
PR18251835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist