Provider Demographics
NPI:1174716401
Name:TORRES, MARIA T
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:T
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:HC 2 BOX 12234
Mailing Address - Street 2:BO. CAPA
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9843
Mailing Address - Country:US
Mailing Address - Phone:787-877-5327
Mailing Address - Fax:
Practice Address - Street 1:4406 AVE MILITAR
Practice Address - Street 2:BO. COTTO
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-4158
Practice Address - Country:US
Practice Address - Phone:787-872-5943
Practice Address - Fax:787-830-4788
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6781183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician