Healthcare Provider Details

I. General information

NPI: 1366563611
Provider Name (Legal Business Name): CRISTINA T TORRES-MARRERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE ANTONIO BARCELO 17
MAUNABO PR
00707
US

IV. Provider business mailing address

PO BOX 8874
HUMACAO PR
00792-8874
US

V. Phone/Fax

Practice location:
  • Phone: 787-206-9495
  • Fax: 787-861-0348
Mailing address:
  • Phone: 787-206-9495
  • Fax: 787-861-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPSI15135
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: