Healthcare Provider Details

I. General information

NPI: 1861786543
Provider Name (Legal Business Name): GUILLERMO RIOS TORRES PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 10/21/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 AVE TITO CASTRO LOCAL COMERCIAL 12A TORRE MEDICA SAN LUCAS
PONCE PR
00717
US

IV. Provider business mailing address

MANSIONES EN PASEO DE REYES F 81
JUANA DIAZ PR
00795
US

V. Phone/Fax

Practice location:
  • Phone: 787-824-5408
  • Fax:
Mailing address:
  • Phone: 787-690-1737
  • Fax: 787-931-7219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5414
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: