Healthcare Provider Details

I. General information

NPI: 1437990520
Provider Name (Legal Business Name): SAMALIX ENID TORRES RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 1 BOX 14596
COAMO PR
00769-9740
US

IV. Provider business mailing address

HC 1 BOX 14596
COAMO PR
00769-9740
US

V. Phone/Fax

Practice location:
  • Phone: 939-259-3614
  • Fax:
Mailing address:
  • Phone: 939-259-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8590
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: