Healthcare Provider Details

I. General information

NPI: 1922966910
Provider Name (Legal Business Name): LUZ IRAIDA TORRES FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 AVE TITO CASTRO
PONCE PR
00716-4717
US

IV. Provider business mailing address

1575 AVE MUNOZ RIVERA # 221
PONCE PR
00717-0211
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-4185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4121
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: