MEDICARE: YARITZA GRISELLE TORRES RUIZ PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6671	PR

General Provider Information

NPI Number	:	1962041277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARITZA GRISELLE TORRES RUIZ PHARM D

Provider Business Mailing Address
First Line	:	PO BOX 70250
Second Line	:	PBM 146
City	:	SAN JUAN
State	:	PR
Zip	:	00936
Country	:	US
Telephone Number	:	787-764-2899
Fax Number	:	787-274-8477

Provider Business Practice Location Address
First Line	:	1689 CALLE PARANA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-3181
Country	:	US
Telephone Number	:	787-764-2899
Fax Number	:	787-274-8477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2020
Last Update Date	:	01/03/2020

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