MEDICARE: ESTHER V TORRES PHARMACY TECHNICIAN

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	247200000X	Other Technician	3634	PR

General Provider Information

NPI Number	:	1649616368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER V TORRES PHARMACY TECHNICIAN

Provider Business Mailing Address
First Line	:	HC 07 BOX 70001
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685
Country	:	US
Telephone Number	:	787-896-6975
Fax Number	:	787-896-1690

Provider Business Practice Location Address
First Line	:	CARR. 119 KM.32 BO. PIEDRAS BLANCAS
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-5408
Country	:	US
Telephone Number	:	787-896-1665
Fax Number	:	787-896-1690

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

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	03/09/2015

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