Provider Demographics
NPI:1952478844
Name:TORRES RIVERA, RUTH
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:TORRES RIVERA
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:PO BOX 560242
Mailing Address - Street 2:268 CALLE 6 LUIS MUNOZ RIVERA
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0242
Mailing Address - Country:US
Mailing Address - Phone:787-835-5522
Mailing Address - Fax:787-835-3020
Practice Address - Street 1:268 CALLE 6 LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-0242
Practice Address - Country:US
Practice Address - Phone:787-835-5522
Practice Address - Fax:787-835-3020
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1835G0000XOtherTAXONOMY