Healthcare Provider Details

I. General information

NPI: 1992621247
Provider Name (Legal Business Name): XAIOMY TORRES AVILA PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

IV. Provider business mailing address

BARRIO MONACILLOS
SAN JUAN PR
00935-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8518
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: