MEDICARE: SAMALIX ENID TORRES RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8590	PR

General Provider Information

NPI Number	:	1437990520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMALIX ENID TORRES RIVERA

Provider Business Mailing Address
First Line	:	HC 1 BOX 14596
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-9740
Country	:	US
Telephone Number	:	939-259-3614
Fax Number	:

Provider Business Practice Location Address
First Line	:	HC 1 BOX 14596
Second Line	:
City	:	COAMO
State	:	PR
Zip	:	00769-9740
Country	:	US
Telephone Number	:	939-259-3614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	01/06/2026

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Directions to “ SAMALIX ENID TORRES RIVERA ” Practice Location

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