Provider Demographics
NPI:1184956534
Name:TORRES, JINNETTE
Entity type:Individual
Prefix:MRS
First Name:JINNETTE
Middle Name:
Last Name: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:CARRETERA 157 KM 24.1 INT.
Mailing Address - Street 2:BO. BARROS SECTOR MONTEBELLO
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720
Mailing Address - Country:US
Mailing Address - Phone:787-383-0615
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 157 KM 24.1 INT.
Practice Address - Street 2:BO. BARROS SECTOR MONTEBELLO
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-383-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3635183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3635OtherSTATE LICENCE