Healthcare Provider Details

I. General information

NPI: 1710032065
Provider Name (Legal Business Name): TORRES VILELA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3116 KM 1 HM 5 BO ENSENADA
GUANICA PR
00653
US

IV. Provider business mailing address

LAJAS ROAD 75 B
ENSENADA PR
00647
US

V. Phone/Fax

Practice location:
  • Phone: 787-821-0555
  • Fax: 787-821-0560
Mailing address:
  • Phone: 787-821-0555
  • Fax: 787-821-0560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07-F-2134
License Number StatePR

VIII. Authorized Official

Name: MRS. PATRIA NILSA TORRES
Title or Position: PRESIDENT
Credential: RPH
Phone: 787-821-0555