Healthcare Provider Details

I. General information

NPI: 1952478844
Provider Name (Legal Business Name): MRS. RUTH TORRES RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 CALLE 6 LUIS MUNOZ RIVERA
GUAYANILLA PR
00656-0242
US

IV. Provider business mailing address

PO BOX 560242 268 CALLE 6 LUIS MUNOZ RIVERA
GUAYANILLA PR
00656-0242
US

V. Phone/Fax

Practice location:
  • Phone: 787-835-5522
  • Fax: 787-835-3020
Mailing address:
  • Phone: 787-835-5522
  • Fax: 787-835-3020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1900
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: