Healthcare Provider Details

I. General information

NPI: 1306194865
Provider Name (Legal Business Name): EMIBEL TORRES RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 08/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX 3663 HATO ARRIBA STATION
SAN SEBASTIAN PUERTO RICO
00685
UM

IV. Provider business mailing address

H C 6 BOX 174141 BO. SALTOS
SAN SEBASTIAN PUERTO RICO
00685
UM

V. Phone/Fax

Practice location:
  • Phone: 787-430-0187
  • Fax:
Mailing address:
  • Phone: 787-430-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4571
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: