Provider Demographics
NPI:1487797452
Name:TORRES, LUZ M
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:M
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-01 BOX 4342
Mailing Address - Street 2:BO. PUNTAS
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-4342
Mailing Address - Country:US
Mailing Address - Phone:787-823-4985
Mailing Address - Fax:
Practice Address - Street 1:CALLEMUNOZRIVERA
Practice Address - Street 2:11OESTE
Practice Address - City:RINCON
Practice Address - State:P.R.
Practice Address - Zip Code:00677
Practice Address - Country:UM
Practice Address - Phone:787-823-2780
Practice Address - Fax:787-823-1704
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004849183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4292542OtherDRIVERS LICENSE