Healthcare Provider Details

I. General information

NPI: 1952479586
Provider Name (Legal Business Name): LILLIAN TORRES RPH, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILLIAN TORRES RPH, CGP

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 CALLE TIBES MANSION DEL SUR
COTO LAUREL PR
00780-2094
US

IV. Provider business mailing address

52 CALLE TIBES MANSION DEL SUR
COTO LAUREL PR
00780-2094
US

V. Phone/Fax

Practice location:
  • Phone: 787-237-7404
  • Fax:
Mailing address:
  • Phone: 787-812-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4284
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number1825
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: